Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12013 | Date 04/04/2023 |
| Token No | SM/22-23/24488 18/09/2023 | Serial | 019 Last Visit: 09/09/2025 |
| Patient Name | Mrs. MONERA KHATUN | Contact No | 8910788802 |
| Address | 37/I MUSALMAN PARA ROAD, SERAMPORE | Age | 22 Years,8 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 72.5 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 30.372535 |
| Diagnosis | |||