Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15681 | Date 12/07/2025 |
| Token No | SM/25-26/3447 12/07/2025 | Serial | 002 Last Visit: 27/08/2025 |
| Patient Name | Mrs. NOORJAHAN PARVEEN | Contact No | 6290338482 |
| Address | 26 NO T.C GOSWAMI STREET | Age | 26 Years,3 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60.4 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 25.140479 |
| Diagnosis | |||