Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 15282 | Date 12/05/2025 |
| Token No | SM/25-26/2842 23/06/2025 | Serial | 004 Last Visit: 09/09/2025 |
| Patient Name | Mrs. KEYA SINGH MONDAL | Contact No | 7980945551 |
| Address | 54 , MUKHERJEE PARA LANE SERAMPORE | Age | 24 Years,8 Months,24 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66.4 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 25.937500 |
| Diagnosis | |||