Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16167 | Date 13/10/2025 |
| Token No | SM/25-26/7004 15/10/2025 | Serial | 002 Last Visit: 29/11/2025 |
| Patient Name | Mr. SHYAMAL KUMAR BATABYAL | Contact No | 9007122105 |
| Address | 29/F S C CHATTERJEE SARANI SERAMPORE MALLICKPARA | Age | 60 Years,6 Months,26 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 168 cm BMI: 24.092971 |
| Diagnosis | |||