Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15722 | Date 21/07/2025 |
| Token No | SM/25-26/3873 21/07/2025 | Serial | 003 Last Visit: 25/08/2025 |
| Patient Name | Mrs. SHABANA KHATOON | Contact No | 7003304880 |
| Address | 13/A K.M BHATTACHARYA STREET | Age | 33 Years,1 Months,19 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 72.3 KG |
| Pulse Rate | / min | Height | 159.6 cm BMI: 28.383930 |
| Diagnosis | |||