Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07283 | Date 06/01/2020 |
| Token No | SM/19-20/16558 11/01/2020 | Serial | 018 Last Visit: 02/07/2025 |
| Patient Name | Mr. AVISHECK GHOSH | Contact No | 9051217765 |
| Address | 24 NO. GHOSH PARA 1ST LANE CHATRA SERAMPORE | Age | 47 Years,6 Months,30 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||