Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09147 | Date 08/01/2021 |
| Token No | SM/20-21/29577 20/01/2021 | Serial | 025 Last Visit: 23/07/2025 |
| Patient Name | Mr. TARUN KUMAR CHAKRABORTY | Contact No | 9830462137 |
| Address | 22 DR. P.N. MUKHERJEE STREET | Age | 47 Years,6 Months,20 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||