Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14013 | Date 08/07/2024 |
| Token No | SM/24-25/34694 09/07/2024 | Serial | 048 Last Visit: 26/04/2025 |
| Patient Name | Mr. DEBANGSHU ADAK | Contact No | 9123395332 |
| Address | 5A/2 BARA BAGAN LANE | Age | 15 Years,4 Months,23 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 91.2 KG |
| Pulse Rate | / min | Height | 169.5 cm BMI: 31.743546 |
| Diagnosis | |||