Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01371 | Date 27/09/2018 |
| Token No | SM/18-19/2173 28/09/2018 | Serial | 002 Last Visit: 02/12/2021 |
| Patient Name | Mr. VISHAL PRAJAPATI | Contact No | 7595885649 |
| Address | 4/D BARABAGAN LANE SERAMPORE MALLICKPARA | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||