Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13832 | Date 07/06/2024 |
| Token No | SM/24-25/33498 10/06/2024 | Serial | 050 Last Visit: 15/11/2025 |
| Patient Name | Mrs. ARCHANA CHANDA | Contact No | 6290778500 |
| Address | 80/G VIVEKANANDA SARANI BAIDYABATI (M) | Age | 57 Years,9 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 155/90 mmHg | Weight | 53.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||