Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05559 | Date 25/06/2019 |
| Token No | SM/19-20/8848 21/08/2019 | Serial | 010 Last Visit: 11/06/2022 |
| Patient Name | Mr. SIDDHANATH MUKHERJEE | Contact No | 7439079044 |
| Address | 105 A.P GHOSH ROAD SERAMPORE | Age | 47YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||