Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07296 | Date 07/01/2020 |
| Token No | SM/25-26/7003 15/10/2025 | Serial | 001 Last Visit: 13/12/2025 |
| Patient Name | Mr. SANTAN KARMOKAR | Contact No | 9748417018 |
| Address | 154/83 NABOGRAM VIVEKANAND SARANI SADGOPE PARA , BAIDYABATI(M) | Age | 55 Years,0 Months,2 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 117/78 mmHg | Weight | 52.3 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 22.196522 |
| Diagnosis | |||