Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 17188 | Date 27/08/2026 |
| Token No | SM/25-26/14471 29/08/2026 at 10:25 | Serial | 010 Last Visit: 27/08/2026 |
| Patient Name | Mr. DIPAK DAS | Contact No | 9830694526 |
| Address | 9/E DHARMATALA LANE SERAMPORE | Age | 75 Years,7 Months,25 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 163 cm BMI: 24.840980 |
| Diagnosis | |||