Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11710 | Date 25/11/2022 |
| Token No | SM/22-23/18281 26/11/2022 | Serial | 002 Last Visit: 26/11/2022 |
| Patient Name | Mr. BIPLAB DAS | Contact No | 7430094661 |
| Address | 72/1 A P GHOSH ROAD CHATRA SERAMPORE | Age | 41 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 174.5 cm BMI: 22.988317 |
| Diagnosis | |||