Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15517 | Date 11/06/2025 |
| Token No | SM/25-26/2344 11/06/2025 | Serial | 001 Last Visit: 09/10/2025 |
| Patient Name | Mrs. RAJANI JAISWARA | Contact No | 9123022144 |
| Address | 11 RABINDRA BHABAN ROAD SERAMPORE | Age | 30 Years,9 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 29.021982 |
| Diagnosis | |||