Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12530 | Date 28/09/2023 |
| Token No | SM/24-25/35796 06/08/2024 | Serial | 009 Last Visit: 31/12/2025 |
| Patient Name | Mr. BISWANATH BANERJEE | Contact No | 9932903120 |
| Address | VILL- GOPALPUR, PO.- AKUNI | Age | 67 Years,11 Months,29 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||