Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00474 | Date 16/08/2018 |
| Token No | SM/22-23/27372 20/12/2023 | Serial | 016 Last Visit: 18/12/2025 |
| Patient Name | Mr. CHINMOY SOM | Contact No | 9836074282 |
| Address | 17D, CHATRA DUTTA PARA LANE | Age | 59 Years,3 Months,14 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 121/66 mmHg | Weight | 55.1 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 20.995275 |
| Diagnosis | |||