Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 15173 | Date 27/03/2025 |
| Token No | SM/25-26/6876 11/10/2025 | Serial | 025 Last Visit: 10/12/2025 |
| Patient Name | Mrs. LAKSHMI BANERJEE | Contact No | 9831792996 |
| Address | CHARABAGAN BAURIPARA BAIDYABATI M | Age | 53 Years,11 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 21.926126 |
| Diagnosis | |||