Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 17177 | Date 24/08/2026 |
| Token No | SM/25-26/14434 27/08/2026 at 11:09 | Serial | 052 Last Visit: 27/08/2026 |
| Patient Name | Mr. SUVENDU PAL | Contact No | 9875689309 |
| Address | 81 TELI PARA,BAIDYABATI M | Age | 41 Years,7 Months,24 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||