Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15592 | Date 19/06/2025 |
| Token No | SM/25-26/2804 21/06/2025 | Serial | 029 Last Visit: 21/06/2025 |
| Patient Name | Mr. PRONOY BARAI | Contact No | 7584942277 |
| Address | UTTAR SAPTAGRAM NABAJIBAN | Age | 17 Years,8 Months,2 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||