Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 17176 | Date 24/08/2026 |
| Token No | SM/25-26/14418 27/08/2026 at 10:49 | Serial | 036 Last Visit: 27/08/2026 |
| Patient Name | Mrs. KABITA SAHA | Contact No | 9330066935 |
| Address | 19/C GHOSH PARA 1ST LANE SERAMPORE | Age | 27 Years,7 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | 165.2 cm BMI: 32.977856 |
| Diagnosis | |||