Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07907 | Date 24/03/2020 |
| Token No | SM/19-20/20313 26/03/2020 | Serial | 025 Last Visit: 04/11/2024 |
| Patient Name | Mr. RAM DUTTA | Contact No | 8017495364 |
| Address | 85 CHATRA SHITALA TALA ,BAIDYABATI(M) | Age | 63 Years,10 Months,2 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||