Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 16295 | Date 20/11/2025 |
| Token No | SM/25-26/8164 20/11/2025 | Serial | 009 Last Visit: 24/11/2025 |
| Patient Name | Mrs. ISHRAT JAHAN | Contact No | 9331069734 |
| Address | 42 PANCHU GOPAL BHADURI SARANI | Age | 38 Years,6 Months,20 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 31.624220 |
| Diagnosis | |||