Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06527 | Date 24/09/2019 |
| Token No | SM/25-26/4816 13/08/2025 | Serial | 007 Last Visit: 07/10/2025 |
| Patient Name | Mrs. BELA GUIN | Contact No | 7278172330 |
| Address | 90/1 CHATRA BARUIPARA LANE | Age | 57 Years,9 Months,5 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 128/82 mmHg | Weight | 55.6 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 27.189594 |
| Diagnosis | |||