Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03536 | Date 13/02/2019 |
| Token No | SM/19-20/4992 21/06/2019 | Serial | 018 Last Visit: 19/01/2023 |
| Patient Name | Mr. DILIP MUKHERJEE | Contact No | 9874358228 |
| Address | 76 N N ROY STREET, SERAMPORE | Age | 74 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||