Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01634 | Date 11/10/2018 |
| Token No | SM/21-22/8922 13/01/2022 | Serial | 055 Last Visit: 31/12/2025 |
| Patient Name | Mr. ANUP KR. CHATTERJEE | Contact No | 9051072362 |
| Address | 16 CHATRA CHOWDHRY PARA BYU LANE | Age | 62 Years,11 Months,29 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||