Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13934 | Date 26/06/2024 |
| Token No | SM/24-25/34179 27/06/2024 | Serial | 029 Last Visit: 13/12/2025 |
| Patient Name | Mr. SOUMEN GHOSH | Contact No | 8910853347 |
| Address | 20/8/3 TELIPARA CHATRA BAIDYABATI (M) | Age | 31 Years,0 Months,10 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||