Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16175 | Date 15/10/2025 |
| Token No | SM/25-26/8661 08/12/2025 | Serial | 012 Last Visit: 09/12/2025 |
| Patient Name | Mrs. MAHI BIBI | Contact No | 7003942294 |
| Address | 12 CHATRA MUSALMAN PARA SERAMPORE | Age | 18 Years,9 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 21.907582 |
| Diagnosis | |||