Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15439 | Date 03/06/2025 |
| Token No | SM/25-26/2513 14/06/2025 | Serial | 004 Last Visit: 18/12/2025 |
| Patient Name | Mrs. SWARNALI DEY SETH | Contact No | 7980604003 |
| Address | 18/D GHOSH PARA CHATRA | Age | 43 Years,4 Months,29 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 82.9 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 33.632196 |
| Diagnosis | |||