Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00133 | Date 04/08/2018 |
| Token No | SM/25-26/14463 29/08/2026 at 09:58 | Serial | 002 Last Visit: 27/08/2026 |
| Patient Name | Mr. SURESH KARAR | Contact No | 8017532544 |
| Address | 9, PANCHANAN TALA SHEWRAPHULI, BAIDYABATI (M) | Age | 49 Years,7 Months,26 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/86 mmHg | Weight | 75.3 KG |
| Pulse Rate | 101 / min | Height | 167 cm BMI: 26.999892 |
| Diagnosis | |||