Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06140 | Date 19/08/2019 |
| Token No | SM/19-20/8773 20/08/2019 | Serial | 052 Last Visit: 29/01/2025 |
| Patient Name | Mr. SWAPAN DUTTA | Contact No | 7044148208 |
| Address | 39 CHATRA DUTTA PARA | Age | 59 Years,0 Months,28 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||