Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07378 | Date 20/01/2020 |
| Token No | SM/22-23/12728 20/05/2022 | Serial | 054 Last Visit: 17/06/2022 |
| Patient Name | Mr. TAPAN GHOSH MAZUMDAR | Contact No | 9748248672 |
| Address | 34/1 G.D BHATTACHARJEE LANE , BAIDYABATI(M) | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 21.989892 |
| Diagnosis | |||