Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00671 | Date 24/08/2018 |
| Token No | SM/18-19/9418 25/02/2019 | Serial | 025 Last Visit: 18/12/2025 |
| Patient Name | Mr. MUKTALAL KUNDU | Contact No | 8370985544 |
| Address | 4 CHOWDHURI PARA LANE | Age | 58 Years,11 Months,16 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||