Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02294 | Date 03/12/2018 |
| Token No | SM/18-19/4558 03/12/2018 | Serial | 024 Last Visit: 03/12/2018 |
| Patient Name | Mr. KANAI LAL SIMANI | Contact No | |
| Address | R.D. LANE, SERAMPORE | Age | 60 Years,9 Months,15 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||