Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16158 | Date 10/10/2025 |
| Token No | SM/25-26/6866 11/10/2025 | Serial | 015 Last Visit: 21/11/2025 |
| Patient Name | Mrs. BITHIKA DAS | Contact No | 7059611196 |
| Address | BIBEKNAGAR SHYAMNAGAR NOAPARA | Age | 49 Years,10 Months,20 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59.9 KG |
| Pulse Rate | / min | Height | 138 cm BMI: 31.453476 |
| Diagnosis | |||