Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13107 | Date 09/01/2024 |
| Token No | SM/24-25/41870 18/01/2025 | Serial | 010 Last Visit: 23/05/2025 |
| Patient Name | Mr. TAPAN BANERJEE | Contact No | |
| Address | GOPALPUR AKHUNI HOOGHLY | Age | 52 Years,4 Months,20 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||