Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15231 | Date 24/04/2025 |
| Token No | SM/25-26/721 24/04/2025 | Serial | 003 Last Visit: 26/05/2025 |
| Patient Name | Mrs. DEBOLINA GOSWAMI | Contact No | 7003609457 |
| Address | 10 NO CHATRA CHOWDHURYPARA | Age | 31 Years,1 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 78.8 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 32.799168 |
| Diagnosis | |||