Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02966 | Date 11/01/2019 |
| Token No | SM/22-23/27489 23/12/2023 | Serial | 042 Last Visit: 18/09/2025 |
| Patient Name | Mrs. MOUSUMI DE | Contact No | 8820344589 |
| Address | 4 CHATRA CHOWDHURY PARA | Age | 42 Years,8 Months,17 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | 143.5 cm BMI: 16.996686 |
| Diagnosis | |||