Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15051 | Date 24/02/2025 |
| Token No | SM/25-26/4133 26/07/2025 | Serial | 003 Last Visit: 04/08/2025 |
| Patient Name | Mrs. KALPANA RUIDAS | Contact No | 6291869069 |
| Address | 20 BAZER BYE LANE,TEEN BAZAR | Age | 19 Years,1 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 123/72 mmHg | Weight | 65.2 KG |
| Pulse Rate | / min | Height | 154.7 cm BMI: 27.243755 |
| Diagnosis | |||