Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00754 | Date 28/08/2018 |
| Token No | SM/25-26/14466 29/08/2026 at 10:08 | Serial | 005 Last Visit: 27/08/2026 |
| Patient Name | Mrs. MAYA MANNA | Contact No | 8017971847 |
| Address | BAGER BAGAN TELI PARA | Age | 46 Years,7 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 107/64 mmHg | Weight | 44.8 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 20.452885 |
| Diagnosis | |||