Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05357 | Date 08/06/2019 |
| Token No | SM/19-20/10283 13/09/2019 | Serial | 013 Last Visit: 25/09/2025 |
| Patient Name | Mr. PANCHANAN CHATTERJEE | Contact No | 8420978774 |
| Address | 31D CHOWDHURY PARA /LANE SERAMPORE CHATRA | Age | 64 Years,8 Months,23 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||