Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08016 | Date 06/04/2020 |
| Token No | SM/25-26/6029 11/09/2025 | Serial | 024 Last Visit: 11/09/2025 |
| Patient Name | Mr. ARNAB CHATTERJEE | Contact No | 8420978774 |
| Address | 31/D CHATRA CHOUDHURY PARA BYE LANE SERAMPORE M | Age | 28 Years,8 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||