Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05395 | Date 12/06/2019 |
| Token No | SM/21-22/10439 03/03/2022 | Serial | 038 Last Visit: 13/12/2025 |
| Patient Name | Mr. SWAPANENDU MUKHERJEE | Contact No | 8902076120 |
| Address | 28/2,DR P.N MUKHERJEE STREET CHATRA SERAMPORE | Age | 71 Years,11 Months,11 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||