Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10260 | Date 01/11/2021 |
| Token No | SM/21-22/6597 03/11/2021 | Serial | 046 Last Visit: 08/11/2021 |
| Patient Name | Mr. PRASENJIT SOM | Contact No | 9874266377 |
| Address | 124/C CHATRA BARUI PARA LANE SERAMPORE | Age | 38 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||