Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14606 | Date 26/11/2024 |
| Token No | SM/25-26/2965 26/06/2025 | Serial | 005 Last Visit: 22/12/2025 |
| Patient Name | Mrs. MAHARUNNISHA KHATUN | Contact No | 6290920938 |
| Address | 20 CHATRA KUMOR PARA , SERAMPORE | Age | 25 Years,11 Months,19 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39.4 KG |
| Pulse Rate | / min | Height | 159.5 cm BMI: 15.487269 |
| Diagnosis | |||