Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12667 | Date 30/10/2023 |
| Token No | SM/25-26/2964 26/06/2025 | Serial | 004 Last Visit: 13/12/2025 |
| Patient Name | Mrs. BASABI GHOSH | Contact No | |
| Address | 4/A DHARMATALA BAI LANE CHATRA SERAMPORE | Age | 68 Years,11 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 133/82 mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 26.872771 |
| Diagnosis | |||