Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02607 | Date 20/12/2018 |
| Token No | SM/20-21/29543 19/01/2021 | Serial | 037 Last Visit: 28/11/2023 |
| Patient Name | Mr. SUKHENDU BANERJEE | Contact No | 7278806136 |
| Address | CHATRA RAM KRISHNA ROAD, BAIDYABATI(M) | Age | 54 Years,10 Months,26 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||