Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15703 | Date 17/07/2025 |
| Token No | SM/25-26/3810 19/07/2025 | Serial | 024 Last Visit: 28/08/2025 |
| Patient Name | Mr. SABYASSCHI GUPTA | Contact No | 8017183116 |
| Address | 10 VIVAKANAND LANE, SERAMPORE | Age | 43 Years,9 Months,17 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 160/100 mmHg | Weight | 83 KG |
| Pulse Rate | / min | Height | 161.5 cm BMI: 31.822408 |
| Diagnosis | |||