Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12171 | Date 22/06/2023 |
| Token No | SM/25-26/8407 28/11/2025 | Serial | 045 Last Visit: 01/12/2025 |
| Patient Name | Mrs. SHIBANI CHAKRABORTY | Contact No | 9143334627 |
| Address | 16/A KHATIR BAZAR LANE | Age | 54 Years,11 Months,30 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58.5 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 23.885107 |
| Diagnosis | |||