Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11437 | Date 13/08/2022 |
| Token No | SM/25-26/7752 08/11/2025 | Serial | 034 Last Visit: 08/11/2025 |
| Patient Name | Mr. SK. SAKIL | Contact No | 6289892084 |
| Address | CHATRA ARABINDYA SARANI SERAMPORE | Age | 23 Years,10 Months,6 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||