Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00089 | Date 03/08/2018 |
| Token No | SM/21-22/10007 18/02/2022 | Serial | 062 Last Visit: 08/12/2025 |
| Patient Name | Mr. BHOLANATH PAL | Contact No | 9903319335 |
| Address | 49/A A.P GHOSH ROAD | Age | 75 Years,11 Months,6 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||