Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00289 | Date 10/08/2018 |
| Token No | SM/19-20/3266 23/05/2019 | Serial | 014 Last Visit: 25/11/2025 |
| Patient Name | Mr. SANDEEP KUMAR JHA | Contact No | 7003856876 |
| Address | 64, N N ROY STREET, SERAMPORE | Age | 34 Years,6 Months,21 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||