Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15812 | Date 01/08/2025 |
| Token No | SM/25-26/4948 18/08/2025 | Serial | 005 Last Visit: 20/08/2025 |
| Patient Name | Mr. GOUTAM KUMAR CHOUDHURY | Contact No | 7044613175 |
| Address | 129 RAMKRISHNA ROAD BAIDYABATI | Age | 66 Years,7 Months,12 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 17.625381 |
| Diagnosis | |||