Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13693 | Date 15/05/2024 |
| Token No | SM/24-25/38731 28/10/2024 | Serial | 061 Last Visit: 03/12/2025 |
| Patient Name | Mrs. RINA PAL | Contact No | 6291321985 |
| Address | 25/1 GODAR BAGAN LANE BAIDYABATI (M) | Age | 47 Years,11 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44.6 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 21.212842 |
| Diagnosis | |||