Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11029 | Date 21/05/2022 |
| Token No | SM/25-26/5188 25/08/2025 | Serial | 003 Last Visit: 27/08/2025 |
| Patient Name | Mr. GOPAL HALDER | Contact No | 8100572526 |
| Address | 43 PANCHU GOPAL BHADURI SARANI | Age | 57 Years,7 Months,25 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 153/ mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 17.404375 |
| Diagnosis | |||