Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16382 | Date 29/12/2025 |
| Token No | SM/25-26/8968 29/12/2025 | Serial | 002 Last Visit: 29/12/2025 |
| Patient Name | Mrs. PRIYA PAL | Contact No | 9062614233 |
| Address | 6 VIVEKANANDA LANE | Age | 32 Years,4 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 27.519484 |
| Diagnosis | |||