Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03455 | Date 08/02/2019 |
| Token No | SM/21-22/8795 10/01/2022 | Serial | 077 Last Visit: 28/09/2024 |
| Patient Name | Mr. MANABENDRA MUKHERJEE | Contact No | 9748044506 |
| Address | 26 CHATRA CHOWDHURI PARA LANE | Age | 56 Years,7 Months,12 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||