Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12062 | Date 02/05/2023 |
| Token No | SM/25-26/5879 08/09/2025 | Serial | 070 Last Visit: 10/09/2025 |
| Patient Name | Mr. SAMA DAS | Contact No | |
| Address | SERAMPORE,BOTTALA | Age | 50 Years,8 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 131/78 mmHg | Weight | 91.3 KG |
| Pulse Rate | / min | Height | 156.2 cm BMI: 37.420425 |
| Diagnosis | |||