Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04255 | Date 16/03/2019 |
| Token No | SM/25-26/7997 15/11/2025 | Serial | 004 Last Visit: 15/11/2025 |
| Patient Name | Mrs. SIMA GUIN | Contact No | 9903658721 |
| Address | 1/1B CHATR DUTTA PARA SERAMPORE | Age | 47 Years,10 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 173/83 mmHg | Weight | 45.4 KG |
| Pulse Rate | / min | Height | 146.4 cm BMI: 21.182329 |
| Diagnosis | |||