Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15767 | Date 26/07/2025 |
| Token No | SM/25-26/4249 30/07/2025 | Serial | 014 Last Visit: 08/09/2025 |
| Patient Name | Mrs. PRIYANKA MALLICK | Contact No | 9831192119 |
| Address | FLAT NO-302, FLOOR -3RD 19 LAHIRI PARA LANE , ROYAL ELITE, | Age | 32 Years,2 Months,19 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59.9 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 26.800595 |
| Diagnosis | |||