Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15754 | Date 25/07/2025 |
| Token No | SM/25-26/4140 26/07/2025 | Serial | 010 Last Visit: 26/07/2025 |
| Patient Name | Mr. SURAJIT CHAKRABORTY | Contact No | 7595842370 |
| Address | 7 DR P N MUKHERJEE STREET SERAMPORE | Age | 28 Years,5 Months,10 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||