Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14733 | Date 03/01/2025 |
| Token No | SM/25-26/1222 10/05/2025 | Serial | 014 Last Visit: 10/05/2025 |
| Patient Name | Mrs. SHYAMALI BAGCHI | Contact No | 9874888354 |
| Address | 64 BARABAGAN LANE SERAMPORE MALLICKPARA | Age | 57 Years,8 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 73.1 KG |
| Pulse Rate | / min | Height | 142 cm BMI: 36.252728 |
| Diagnosis | |||