Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15630 | Date 30/06/2025 |
| Token No | SM/25-26/4199 28/07/2025 | Serial | 007 Last Visit: 11/11/2025 |
| Patient Name | Mrs. NOOR JAHAN KHATOON | Contact No | 8820995043 |
| Address | 54/A/1/9 K M BHATTCHARJEE STREET SERAMPORE | Age | 18 Years,9 Months,20 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 25.847703 |
| Diagnosis | |||