Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02938 | Date 10/01/2019 |
| Token No | SM/18-19/6654 11/01/2019 | Serial | 011 Last Visit: 22/09/2022 |
| Patient Name | Mr. ASIT MUKHERJEE | Contact No | 9433362997 |
| Address | 10 DR. GC GOSWAMI STREET | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||