Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13363 | Date 01/03/2024 |
| Token No | SM/24-25/38732 28/10/2024 | Serial | 062 Last Visit: 20/06/2025 |
| Patient Name | Mrs. SANTANA BURMAN | Contact No | 8335992777 |
| Address | 37 LAHIRI PARA JORA BARI, SERAMPORE | Age | 33 Years,4 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 122/91 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 141 cm BMI: 28.670590 |
| Diagnosis | |||