Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16211 | Date 29/10/2025 |
| Token No | SM/25-26/14490 29/08/2026 at 10:49 | Serial | 029 Last Visit: 27/08/2026 |
| Patient Name | Mrs. SANDHYA POREY | Contact No | |
| Address | 22 DR.G.C GOSWAMI STREET | Age | 71 Years,7 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 23.618049 |
| Diagnosis | |||