Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10568 | Date 17/01/2022 |
| Token No | SM/21-22/9231 21/01/2022 | Serial | 039 Last Visit: 23/07/2025 |
| Patient Name | Mr. UTPAL KUMAR DUTTA | Contact No | 9038783570 |
| Address | 68/1,G.T ROAD CHATRA | Age | 66 Years,6 Months,20 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||