Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02960 | Date 11/01/2019 |
| Token No | SM/18-19/6855 16/01/2019 | Serial | 001 Last Visit: 22/08/2023 |
| Patient Name | Mr. BISWANATH CHATTERJEE | Contact No | 9051817907 |
| Address | 4 KHALDER LANE SERAMPORE | Age | 67 Years,7 Months,20 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||