Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12340 | Date 18/08/2023 |
| Token No | SM/22-23/26216 11/11/2023 | Serial | 026 Last Visit: 10/11/2025 |
| Patient Name | Mrs. NAFSA PARWEEN | Contact No | 8777458967 |
| Address | 25/C KANAI DEWAN TALA LANE SERAMPORE | Age | 19 Years,3 Months,9 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 112/78 mmHg | Weight | 54.6 KG |
| Pulse Rate | 90 / min | Height | 152.5 cm BMI: 23.477560 |
| Diagnosis | |||