Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10653 | Date 10/02/2022 |
| Token No | SM/21-22/10243 24/02/2022 | Serial | 046 Last Visit: 14/07/2025 |
| Patient Name | Mr. SWAPAN PARUI | Contact No | 8554887247 |
| Address | 27 NO A P GHOSH ROAD CHATRA SERAMPORE | Age | 67 Years,6 Months,11 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||