Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10046 | Date 04/09/2021 |
| Token No | SM/25-26/6874 11/10/2025 | Serial | 023 Last Visit: 28/10/2025 |
| Patient Name | Mr. SUROJIT MONDAL | Contact No | 9163722970 |
| Address | 11/8 K. C. MUKHERJEE STREET,CHATRA,BAIDYABATI(M) | Age | 43 Years,9 Months,26 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 123/73 mmHg | Weight | 60.1 KG |
| Pulse Rate | / min | Height | 172 cm BMI: 20.315035 |
| Diagnosis | |||