Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16189 | Date 16/10/2025 |
| Token No | SM/25-26/7169 18/10/2025 | Serial | 034 Last Visit: 01/12/2025 |
| Patient Name | Mrs. KAJAL SINGH GUPTA | Contact No | 8100608628 |
| Address | 19 DR. BAGAN LANE SERAMPORE | Age | 30 Years,3 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55.1 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 22.934443 |
| Diagnosis | |||