Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15590 | Date 19/06/2025 |
| Token No | SM/25-26/2712 19/06/2025 | Serial | 001 Last Visit: 29/08/2025 |
| Patient Name | Mrs. SONI RAJAK | Contact No | 9875615291 |
| Address | 20 NO L.B.S. ROAD SERAMPORE | Age | 33 Years,7 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35.2 KG |
| Pulse Rate | / min | Height | 141 cm BMI: 17.705347 |
| Diagnosis | |||