Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12731 | Date 11/11/2023 |
| Token No | SM/22-23/26298 17/11/2023 | Serial | 027 Last Visit: 12/11/2025 |
| Patient Name | Mr. SK ABDUL MOIJ | Contact No | 9883048139 |
| Address | 31/A CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 72 Years,10 Months,10 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 157/73 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||