Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00133 | Date 04/08/2018 |
| Token No | SM/18-19/5048 11/12/2018 | Serial | 028 Last Visit: 13/12/2025 |
| Patient Name | Mr. SURESH KARAR | Contact No | 8017532544 |
| Address | 9, PANCHANAN TALA SHEWRAPHULI, BAIDYABATI (M) | Age | 48 Years,11 Months,11 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||