Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15729 | Date 21/07/2025 |
| Token No | SM/25-26/4143 26/07/2025 | Serial | 013 Last Visit: 17/12/2025 |
| Patient Name | Mrs. KALPANA PAUL | Contact No | 8100750367 |
| Address | 29 NO KUMOR PARA LANE CHATRA SERAMPORE | Age | 47 Years,9 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45.5 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 19.436969 |
| Diagnosis | |||