Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03221 | Date 29/01/2019 |
| Token No | SM/24-25/31555 19/04/2024 | Serial | 024 Last Visit: 27/11/2025 |
| Patient Name | Mrs. MALATI KAYAL | Contact No | 9836529718 |
| Address | 96/75F TELIPARA , BAIDYABATI(M) | Age | 60 Years,10 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 148/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 21.082813 |
| Diagnosis | |||