Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16212 | Date 29/10/2025 |
| Token No | SM/25-26/8437 29/11/2025 | Serial | 027 Last Visit: 01/12/2025 |
| Patient Name | Mrs. DEBARTHI DAS | Contact No | 9330277795 |
| Address | 21 KUMIR JALA ROAD SERAMPORE | Age | 25 Years,4 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 0.000000 |
| Diagnosis | |||