Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16173 | Date 14/10/2025 |
| Token No | SM/25-26/6988 14/10/2025 | Serial | 002 Last Visit: 15/10/2025 |
| Patient Name | Mrs. SARMILA SARKAR | Contact No | 9434622213 |
| Address | 13/A LAHIRA PARA LANE SERAMPORE | Age | 50 Years,9 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 26.314635 |
| Diagnosis | |||