Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01340 | Date 26/09/2018 |
| Token No | SM/18-19/2120 27/09/2018 | Serial | 001 Last Visit: 22/11/2022 |
| Patient Name | Mr. PRADYUT CHAKRABORTY | Contact No | 8697264668 |
| Address | 38/A CHATRA CHAKRABORTY LANE SERAMPORE | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||