Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15684 | Date 12/07/2025 |
| Token No | SM/25-26/3547 14/07/2025 | Serial | 029 Last Visit: 14/07/2025 |
| Patient Name | Mrs. TIYASA RAM | Contact No | 9007827613 |
| Address | 65 CHATRA LANKAR BAGAN SACHTASI PARA, BAIDYABATI (M) | Age | 22 Years,11 Months,29 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 32.1 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 14.078330 |
| Diagnosis | |||