Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03888 | Date 27/02/2019 |
| Token No | SM/19-20/18924 29/02/2020 | Serial | 025 Last Visit: 06/11/2025 |
| Patient Name | Mr. SOUMEN PAL | Contact No | 7890325258 |
| Address | 33 CHATRA KUMAR PARA | Age | 40 Years,9 Months,12 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||