Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00183 | Date 07/08/2018 |
| Token No | SM/19-20/17834 10/02/2020 | Serial | 010 Last Visit: 06/07/2024 |
| Patient Name | Mr. SAMBHUNATH KUNDU | Contact No | 9007168350 |
| Address | 3/A, DUTTAPARA LANE, CHATRA | Age | 79 Years,6 Months,3 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||