Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12596 | Date 09/10/2023 |
| Token No | SM/25-26/6378 22/09/2025 | Serial | 003 Last Visit: 06/11/2025 |
| Patient Name | Mrs. MADHUMITA CHAKRABORTY | Contact No | 9903727702 |
| Address | 91/92 G. KUMIR JALA ROAD | Age | 50 Years,9 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 69.7 KG |
| Pulse Rate | / min | Height | 150.4 cm BMI: 30.813221 |
| Diagnosis | |||