Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05972 | Date 26/07/2019 |
| Token No | SM/25-26/3973 23/07/2025 | Serial | 003 Last Visit: 26/07/2025 |
| Patient Name | Mrs. SONALI KOLEY | Contact No | 9883327449 |
| Address | 96 CHATRA MANNA PARA RAMKRISHNA ROAD , BAIDYABATI(M) | Age | 36 Years,6 Months,23 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 112/81 mmHg | Weight | 58.2 KG |
| Pulse Rate | / min | Height | 153.2 cm BMI: 24.797360 |
| Diagnosis | |||