Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13284 | Date 17/02/2024 |
| Token No | SM/24-25/34454 04/07/2024 | Serial | 008 Last Visit: 10/09/2025 |
| Patient Name | Mr. PRASANTA CHATTORAJ | Contact No | 9830801047 |
| Address | 55/A BARO BAGAN LANE SERAMPORE | Age | 69 Years,8 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||