Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10556 | Date 13/01/2022 |
| Token No | SM/21-22/9043 17/01/2022 | Serial | 059 Last Visit: 24/09/2025 |
| Patient Name | Mr. APURBA CHATTERJEE | Contact No | 8420704888 |
| Address | 2,NO CHAKRABARTY LANE SERAMPORE | Age | 71 Years,8 Months,22 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||