Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 16220 | Date 01/11/2025 |
| Token No | SM/25-26/7599 05/11/2025 | Serial | 005 Last Visit: 06/11/2025 |
| Patient Name | Mrs. SWARNALATA BANERJEE | Contact No | 8910689920 |
| Address | CHAK NATUNPARA BAIDYABATI (M) | Age | 56 Years,10 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46.7 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 21.759135 |
| Diagnosis | |||