Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11807 | Date 23/12/2022 |
| Token No | SM/22-23/19224 24/12/2022 | Serial | 032 Last Visit: 18/10/2025 |
| Patient Name | Mr. INDRAJIT CHAKRABORTY | Contact No | 8697941736 |
| Address | 38, A.P. GHOSH ROAD SERAMPORE | Age | 54 Years,9 Months,16 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||