Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11181 | Date 23/06/2022 |
| Token No | SM/22-23/26065 08/11/2023 | Serial | 031 Last Visit: 10/12/2025 |
| Patient Name | Mrs. RATNA PAL | Contact No | 9748571198 |
| Address | 15A BHADURI PARA LANE CHATRA SERAMPORE | Age | 58 Years,11 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/90 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 25.390625 |
| Diagnosis | |||