Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09625 | Date 19/05/2021 |
| Token No | SM/21-22/6721 09/11/2021 | Serial | 047 Last Visit: 01/09/2025 |
| Patient Name | Mr. SUSANTA GANGULY | Contact No | 628938823 |
| Address | 3/E DUTTA PARA SERAMPORE | Age | 64 Years,8 Months,29 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||