Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12802 | Date 06/12/2023 |
| Token No | SM/25-26/14455 28/08/2026 at 14:17 | Serial | 003 Last Visit: 28/08/2026 |
| Patient Name | Mr. JAYDEB CHAKRABORTY | Contact No | 9735695082 |
| Address | P N MUKHERJEE STREET CHATRA | Age | 57 Years,9 Months,6 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||