Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06888 | Date 18/11/2019 |
| Token No | SM/25-26/14495 29/08/2026 at 11:02 | Serial | 034 Last Visit: 27/08/2026 |
| Patient Name | Mrs. MOUSUMI MONDAL | Contact No | 8697724996 |
| Address | 28/A CHAKRABORTY LANE SERAMPORE | Age | 26 Years,7 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62.1 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 25.193720 |
| Diagnosis | |||