Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03949 | Date 02/03/2019 |
| Token No | SM/18-19/11464 28/03/2019 | Serial | 066 Last Visit: 28/04/2020 |
| Patient Name | Mr. ANIL SARKAR | Contact No | 9804354755 |
| Address | CHATRA SHITLATALA , BAIDYABATI(M) | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||