Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11583 | Date 16/09/2022 |
| Token No | SM/25-26/7006 15/10/2025 | Serial | 004 Last Visit: 18/10/2025 |
| Patient Name | Mrs. GOPA DAS GHOSH | Contact No | 9230213656 |
| Address | 76 RAM KRISHNA ROAD SERAMPORE | Age | 35 Years,4 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54.5 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 23.434561 |
| Diagnosis | |||