Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01227 | Date 19/09/2018 |
| Token No | SM/24-25/32773 23/05/2024 | Serial | 004 Last Visit: 13/10/2025 |
| Patient Name | Mr. DEBABRATA MANNA | Contact No | 9339418168 |
| Address | 16 CHAKRABORTY LANE | Age | 53 Years,9 Months,11 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 161.5 cm BMI: 23.770955 |
| Diagnosis | |||