Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01410 | Date 29/09/2018 |
| Token No | SM/18-19/2219 29/09/2018 | Serial | 007 Last Visit: 26/02/2024 |
| Patient Name | Mr. SAILEN SRIMANI | Contact No | 9830305569 |
| Address | 2/B/B A K C BHATTACHARYA STREET | Age | 69 Years,1 Months,25 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||