Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13834 | Date 08/06/2024 |
| Token No | SM/25-26/218 07/04/2025 | Serial | 046 Last Visit: 17/11/2025 |
| Patient Name | Mrs. KAJAL FUSTI | Contact No | 9007542806 |
| Address | 22/3 TELIPARA CHATRA BAIDYABATI (M) | Age | 43 Years,10 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 125/79 mmHg | Weight | 71.2 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 28.521070 |
| Diagnosis | |||