Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09434 | Date 06/04/2021 |
| Token No | SM/21-22/8517 05/01/2022 | Serial | 029 Last Visit: 22/08/2022 |
| Patient Name | Mr. SAMIR KR. DUTTA | Contact No | 9836605787 |
| Address | 10/M, M.C LAHIRI STREET CHATRA SERAMPORE | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||