Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15237 | Date 25/04/2025 |
| Token No | SM/25-26/817 26/04/2025 | Serial | 026 Last Visit: 26/04/2025 |
| Patient Name | Mr. SAYAN CH DAS | Contact No | 9163183811 |
| Address | 42 DAKSHIN BHATTCHARYA PARA SERAMPORE | Age | 25 Years,1 Months,14 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||