Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10235 | Date 26/10/2021 |
| Token No | SM/21-22/6367 28/10/2021 | Serial | 033 Last Visit: 13/01/2023 |
| Patient Name | Mr. SURENDRANATH DAS | Contact No | 8017931544 |
| Address | 48/1 LANKAR BAGAN SATCHASI PARA SERAMPORE | Age | 75 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||