Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11264 | Date 13/07/2022 |
| Token No | SM/22-23/14618 14/07/2022 | Serial | 023 Last Visit: 22/08/2022 |
| Patient Name | Mrs. JANNAT FARIDI | Contact No | 9903324941 |
| Address | 81/75 KALAHATA BAIDYABATI PIARAPUR | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 18.510806 |
| Diagnosis | |||