Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12764 | Date 25/11/2023 |
| Token No | SM/22-23/26493 25/11/2023 | Serial | 031 Last Visit: 28/11/2023 |
| Patient Name | Mr. AVIJIT KUNDU | Contact No | 8013356949 |
| Address | 12/B/2 DR, TARA PRASANNA BHATTCHARYA STREET SERAMPORE | Age | 58 Years,3 Months,1 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||