Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15908 | Date 18/08/2025 |
| Token No | SM/25-26/5098 20/08/2025 | Serial | 059 Last Visit: 04/09/2025 |
| Patient Name | Mrs. PRIYANKA JAISWAL | Contact No | 7044796803 |
| Address | 12/A TARA PRASANNA BHATTCHARYA STREET SERAMPORE | Age | 36 Years,2 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 107/75 mmHg | Weight | 55.2 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 22.111841 |
| Diagnosis | |||