Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15617 | Date 25/06/2025 |
| Token No | SM/25-26/2970 26/06/2025 | Serial | 010 Last Visit: 28/06/2025 |
| Patient Name | Mr. SOUMADIP RUIDAS | Contact No | 9007430342 |
| Address | BAGER BAGAN,BAIDYABATI(M) | Age | 22 Years,1 Months,29 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 98/66 mmHg | Weight | 39.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||