Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00626 | Date 21/08/2018 |
| Token No | SM/21-22/11081 25/03/2022 | Serial | 017 Last Visit: 13/09/2025 |
| Patient Name | Mr. KALIDAS NAG | Contact No | 9088430965 |
| Address | 17/A CHATRA BAZAR ROAD | Age | 59 Years,8 Months,11 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||