Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12516 | Date 25/09/2023 |
| Token No | SM/25-26/5459 30/08/2025 | Serial | 013 Last Visit: 18/09/2025 |
| Patient Name | Mrs. KATE YAMAGUTI RAY | Contact No | 9831477852 |
| Address | 5 C DR. G C GOSWAMI STREET SERAMPORE | Age | 39 Years,3 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 84.9 KG |
| Pulse Rate | / min | Height | 162.9 cm BMI: 31.993778 |
| Diagnosis | |||