Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01937 | Date 12/11/2018 |
| Token No | SM/19-20/9380 29/08/2019 | Serial | 021 Last Visit: 04/04/2025 |
| Patient Name | Mr. RAJKUMAR CHAKRABORTY | Contact No | 6290520299 |
| Address | 11 P N MUKHERJEE STREET | Age | 53 Years,3 Months,2 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||