Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02789 | Date 02/01/2019 |
| Token No | SM/25-26/14420 27/08/2026 at 10:53 | Serial | 038 Last Visit: 27/08/2026 |
| Patient Name | Mr. SHITAL SENAPATI | Contact No | 9143555982 |
| Address | 74 CHATRA MUKHERJEE PARA, BAIDYABATI (M) | Age | 61 Years,7 Months,26 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | 157.5 cm BMI: 30.637440 |
| Diagnosis | |||