Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04615 | Date 08/04/2019 |
| Token No | SM/21-22/9705 08/02/2022 | Serial | 061 Last Visit: 11/08/2025 |
| Patient Name | Mr. MD NOUSAD HOSSAIN | Contact No | 8981596529 |
| Address | 129 A P GHOSH ROAD CHATRA,SERAMPORE | Age | 78 Years,7 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||