Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15233 | Date 25/04/2025 |
| Token No | SM/25-26/744 25/04/2025 | Serial | 007 Last Visit: 25/04/2025 |
| Patient Name | Mr. NISIT DAS | Contact No | |
| Address | BARUIPARA, SINGUR, HOOGHLY | Age | 55 Years,0 Months,24 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||