Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02910 | Date 09/01/2019 |
| Token No | SM/18-19/6524 09/01/2019 | Serial | 013 Last Visit: 09/01/2019 |
| Patient Name | Mr. SAILA CHAKRABORTY | Contact No | 9830590177 |
| Address | KUMIRJALA ROAD SERAMPORE | Age | 72 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/90 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||