Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02613 | Date 20/12/2018 |
| Token No | SM/18-19/11089 25/03/2019 | Serial | 009 Last Visit: 22/09/2020 |
| Patient Name | Mr. SK ABBAS | Contact No | 9163245484 |
| Address | 21 MUSALMAN PARA LANE, SERAMPORE | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||