Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00269 | Date 09/08/2018 |
| Token No | SM/22-23/29072 10/02/2024 | Serial | 050 Last Visit: 17/11/2025 |
| Patient Name | Mrs. GOURI GHOSH | Contact No | |
| Address | 84 A.P. GHOSH ROAD, CHATRA, SERAMPORE | Age | 61 Years,10 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52.2 KG |
| Pulse Rate | / min | Height | 148.6 cm BMI: 23.639206 |
| Diagnosis | |||