Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05687 | Date 06/07/2019 |
| Token No | SM/22-23/26187 10/11/2023 | Serial | 038 Last Visit: 11/11/2023 |
| Patient Name | Mr. JAYDEB MANIK | Contact No | 9231980336 |
| Address | 59 CHATRA DHARMOTALA SERAMPORE | Age | 50 Years,10 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||