Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01365 | Date 27/09/2018 |
| Token No | SM/21-22/2477 23/06/2021 | Serial | 031 Last Visit: 23/11/2022 |
| Patient Name | Mr. SAROJ CHOWDHURY | Contact No | 8017535446 |
| Address | 20, CHATRA CHOWDHURY PARA BY LANE | Age | 74 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||