Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01285 | Date 24/09/2018 |
| Token No | SM/24-25/34820 11/07/2024 | Serial | 028 Last Visit: 29/11/2025 |
| Patient Name | Mr. SANDIP KR SOM | Contact No | 7685885936 |
| Address | 17/D DUTTES LANE | Age | 76 Years,2 Months,1 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 162.5 cm BMI: 25.751479 |
| Diagnosis | |||