Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00166 | Date 06/08/2018 |
| Token No | SM/25-26/6555 25/09/2025 | Serial | 038 Last Visit: 17/12/2025 |
| Patient Name | Mrs. JAMUNA PARUI | Contact No | 9062335537 |
| Address | CHATRA LANKAR BAGAN | Age | 57 Years,11 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54.7 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 23.675554 |
| Diagnosis | |||