Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14666 | Date 10/12/2024 |
| Token No | SM/24-25/40640 14/12/2024 | Serial | 008 Last Visit: 16/06/2025 |
| Patient Name | Mrs. RASHIDA KHATUN | Contact No | 7439268700 |
| Address | 7 ARBINDA SARANI CHATRA SERAMPORE | Age | 21 Years,4 Months,12 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37.2 KG |
| Pulse Rate | / min | Height | 145.6 cm BMI: 17.547700 |
| Diagnosis | |||