Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02657 | Date 22/12/2018 |
| Token No | SM/19-20/22591 30/05/2020 | Serial | 007 Last Visit: 08/12/2025 |
| Patient Name | Mr. SUBRATA SANYAL | Contact No | 9903409396 |
| Address | BAROBAGAN SERAMPORE | Age | 58 Years,0 Months,18 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||