Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16025 | Date 10/09/2025 |
| Token No | SM/25-26/6012 11/09/2025 | Serial | 007 Last Visit: 12/09/2025 |
| Patient Name | Mrs. SANDHYA GHOSH | Contact No | 8981211282 |
| Address | 4-A, VIVEKANANDA LANE SERAMPORE | Age | 63 Years,2 Months,9 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40.7 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 17.968897 |
| Diagnosis | |||