Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14346 | Date 04/10/2024 |
| Token No | SM/25-26/5966 10/09/2025 | Serial | 047 Last Visit: 12/09/2025 |
| Patient Name | Mrs. NURAJAHAN BIBI | Contact No | 9674023586 |
| Address | 7 ARBINDA SARANI SERAMPORE CHATRA | Age | 47 Years,8 Months,10 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 74.7 KG |
| Pulse Rate | / min | Height | 152.7 cm BMI: 32.036313 |
| Diagnosis | |||