Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00016 | Date 01/08/2018 |
| Token No | SM/25-26/84 03/04/2025 | Serial | 014 Last Visit: 29/11/2025 |
| Patient Name | Mrs. MAMATA SAHU | Contact No | 8013504463 |
| Address | 2 BHATTACHARJEE PARA | Age | 29 Years,10 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58.4 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 26.661797 |
| Diagnosis | |||