Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10756 | Date 07/03/2022 |
| Token No | SM/22-23/19341 29/12/2022 | Serial | 043 Last Visit: 09/12/2023 |
| Patient Name | Mrs. SAHANAJ KHATUN | Contact No | 8274008523 |
| Address | 25/C KANAI DIWAN TALA SHEORAPHULI SERAMPORE (M) | Age | 20 Years,11 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | 154.7 cm BMI: 14.206866 |
| Diagnosis | |||