Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06398 | Date 13/09/2019 |
| Token No | SM/19-20/23741 04/07/2020 | Serial | 010 Last Visit: 24/07/2020 |
| Patient Name | Mr. TAPAN KUMAR MUKHERJEE | Contact No | 9051883092 |
| Address | 19 DR P.N MUKHERJEE STREET SERAMPORE | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||