Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00374 | Date 11/08/2018 |
| Token No | SM/19-20/23157 16/06/2020 | Serial | 028 Last Visit: 02/06/2023 |
| Patient Name | Mr. ARUP KUMAR DAS | Contact No | 9933624955 |
| Address | VILL- BANIPUR, P.O- AKUNI, P.S- CHANDITALA, DIST- HOOGHLY, 712701 | Age | 29 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||