Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05553 | Date 24/06/2019 |
| Token No | SM/21-22/7582 08/12/2021 | Serial | 036 Last Visit: 15/11/2025 |
| Patient Name | Mr. AMIT KUMER DAS | Contact No | 9830447448 |
| Address | 4 CHOWDHURI PARA LANE, SERAMPORE | Age | 44 Years,10 Months,13 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||