Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15494 | Date 06/06/2025 |
| Token No | SM/25-26/2240 09/06/2025 | Serial | 004 Last Visit: 09/06/2025 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9038136841 |
| Address | GODAR BAGAN CHATRA BAIDYABATI (M) | Age | 38 Years,10 Months,21 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 111/75 mmHg | Weight | 50.7 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 24.793388 |
| Diagnosis | |||