Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12798 | Date 06/12/2023 |
| Token No | SM/22-23/26786 06/12/2023 | Serial | 001 Last Visit: 06/12/2023 |
| Patient Name | Mr. ARUN NAG | Contact No | |
| Address | 33/66 TARAPUKUR LANE MALLICKPARA , SERAMPORE | Age | 62 Years,11 Months,3 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||