Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15179 | Date 28/03/2025 |
| Token No | SM/25-26/85 03/04/2025 | Serial | 015 Last Visit: 17/12/2025 |
| Patient Name | Mr. ALOK ROY | Contact No | 9007706278 |
| Address | 61/C SADGOPE PARA LANE BAIDYABATI (M) | Age | 65 Years,7 Months,12 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 146/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 23.111111 |
| Diagnosis | |||