Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05853 | Date 19/07/2019 |
| Token No | SM/25-26/2890 25/06/2025 | Serial | 006 Last Visit: 07/07/2025 |
| Patient Name | Mrs. PURNIMA BAG | Contact No | 9836764962 |
| Address | 77/1 CHATRA MANNA PARA,BAIDYABATI(M) | Age | 36 Years,6 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 134/88 mmHg | Weight | 70.8 KG |
| Pulse Rate | / min | Height | 153.4 cm BMI: 30.087253 |
| Diagnosis | |||