Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12471 | Date 14/09/2023 |
| Token No | SM/25-26/5105 20/08/2025 | Serial | 066 Last Visit: 17/12/2025 |
| Patient Name | Mr. DEBASHIS MUKHERJEE | Contact No | 9339223607 |
| Address | 13, SIDDHESWARI LANE SERAMPORE | Age | 63 Years,11 Months,15 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 166 cm BMI: 22.499637 |
| Diagnosis | |||