Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04198 | Date 13/03/2019 |
| Token No | SM/18-19/10504 13/03/2019 | Serial | 031 Last Visit: 13/03/2019 |
| Patient Name | Mr. ADITYA NARAYAN JHA | Contact No | 9681059453 |
| Address | N.N RAY STREET SERAMPORE | Age | 16 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||