Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15433 | Date 02/06/2025 |
| Token No | SM/25-26/2110 04/06/2025 | Serial | 012 Last Visit: 21/11/2025 |
| Patient Name | Mrs. LEKHA DAS | Contact No | 9339736171 |
| Address | 293 (108/2) G T ROAD MANSATALA BAIDYABATI (M), CHATRA | Age | 74 Years,7 Months,22 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 127/67 mmHg | Weight | 37.4 KG |
| Pulse Rate | / min | Height | 140 cm BMI: 19.081633 |
| Diagnosis | |||