Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16200 | Date 22/10/2025 |
| Token No | SM/25-26/7507 03/11/2025 | Serial | 009 Last Visit: 09/12/2025 |
| Patient Name | Mrs. AFSANA KHATOON | Contact No | 9038305972 |
| Address | 12 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 33 Years,8 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66.8 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 28.912742 |
| Diagnosis | |||