Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14911 | Date 27/01/2025 |
| Token No | SM/24-25/44201 24/03/2025 | Serial | 020 Last Visit: 20/06/2025 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9062166104 |
| Address | 92 G T ROAD SHEORAPHULI, BAIDYABATI (M) | Age | 68 Years,5 Months,17 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 135/73 mmHg | Weight | 54.5 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 24.222222 |
| Diagnosis | |||