Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16064 | Date 15/09/2025 |
| Token No | SM/25-26/6203 15/09/2025 | Serial | 025 Last Visit: 22/09/2025 |
| Patient Name | Mrs. SANGEETA DUTTA DEY | Contact No | 9804609616 |
| Address | 32/1 PASCHIM GHOSH PARA ROAD | Age | 36 Years,6 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 24.609375 |
| Diagnosis | |||