Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00390 | Date 13/08/2018 |
| Token No | SM/21-22/6174 23/10/2021 | Serial | 041 Last Visit: 30/07/2025 |
| Patient Name | Mr. PARES PARUI | Contact No | 9038908858 |
| Address | 14B, DUTTAS LANE,SERAMPORE | Age | 77 Years,5 Months,27 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||