Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01521 | Date 05/10/2018 |
| Token No | SM/19-20/23170 17/06/2020 | Serial | 001 Last Visit: 21/11/2025 |
| Patient Name | Mr. SUBHASIS DE | Contact No | 9903794022 |
| Address | 30/A/1 DR P N MUKHERJEE STREET | Age | 63 Years,10 Months,19 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||