Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02922 | Date 09/01/2019 |
| Token No | SM/18-19/6587 10/01/2019 | Serial | 014 Last Visit: 11/01/2019 |
| Patient Name | Mr. SAMIR MONDAL | Contact No | 9331282766 |
| Address | N N ROY SRTEET | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||