Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15771 | Date 28/07/2025 |
| Token No | SM/25-26/4318 30/07/2025 | Serial | 083 Last Visit: 31/07/2025 |
| Patient Name | Mrs. ANU PRAMANICK | Contact No | 9804886498 |
| Address | 41 BORABAGAN LANE,MALLICK PARA | Age | 26 Years,11 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 90.8 KG |
| Pulse Rate | / min | Height | 147.8 cm BMI: 41.565880 |
| Diagnosis | |||