Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01906 | Date 05/11/2018 |
| Token No | SM/19-20/22515 28/05/2020 | Serial | 012 Last Visit: 26/09/2025 |
| Patient Name | Mr. KASHINATH SADHUKHAN | Contact No | 9681065397 |
| Address | 3DHARMOTALA LANE CHATRA SERAMPORE (M) | Age | 47 Years,8 Months,24 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||