Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00665 | Date 24/08/2018 |
| Token No | SM/24-25/33128 01/06/2024 | Serial | 025 Last Visit: 07/06/2024 |
| Patient Name | Mrs. SHYAMALI PAKRE | Contact No | 8420789912 |
| Address | BAGER BAGAN CHATAR | Age | 38 Years,5 Months,5 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 21.028848 |
| Diagnosis | |||