Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11031 | Date 23/05/2022 |
| Token No | SM/25-26/7727 08/11/2025 | Serial | 009 Last Visit: 10/11/2025 |
| Patient Name | Mrs. MAMATA KAR | Contact No | 6290188801 |
| Address | 8/1 CHAMPATALA LANE SERAMPORE CHATRA | Age | 45 Years,10 Months,9 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 114/78 mmHg | Weight | 51.5 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 23.671359 |
| Diagnosis | |||