Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00675 | Date 24/08/2018 |
| Token No | SM/21-22/9224 21/01/2022 | Serial | 032 Last Visit: 11/07/2025 |
| Patient Name | Mr. ALOK CHOWDHURI | Contact No | 8336829455 |
| Address | 21 CHOWDHURY PARA BYE LANE SERAMPORE | Age | 65 Years,6 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||