Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15925 | Date 20/08/2025 |
| Token No | SM/25-26/5817 08/09/2025 | Serial | 008 Last Visit: 08/09/2025 |
| Patient Name | Mr. MILAN CHANDRA DAS | Contact No | 9007774497 |
| Address | 44 DUTTA PARA LANE | Age | 87 Years,0 Months,13 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||