Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01737 | Date 29/10/2018 |
| Token No | SM/19-20/9992 07/09/2019 | Serial | 061 Last Visit: 13/12/2025 |
| Patient Name | Mr. BIJOY CHOWDHURY | Contact No | 9051488324 |
| Address | 21, CHATRA CHOWDHURY PARA /LANE | Age | 70 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 | |||