Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01120 | Date 14/09/2018 |
| Token No | SM/21-22/8009 22/12/2021 | Serial | 029 Last Visit: 15/10/2025 |
| Patient Name | Mr. SWAPAN PAL | Contact No | 9163098902 |
| Address | 102 A P GHOSH ROAD, CHATRA SERAMPORE | Age | 60 Years,9 Months,13 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||