Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07270 | Date 02/01/2020 |
| Token No | SM/21-22/9034 17/01/2022 | Serial | 050 Last Visit: 11/09/2023 |
| Patient Name | Mr. SANTU MALLICK | Contact No | 8420794148 |
| Address | 37/C/2 BARO BAGAN LANE SERAMPORE | Age | 52 Years,8 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||