Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00361 | Date 11/08/2018 |
| Token No | SM/18-19/704 21/08/2018 | Serial | 002 Last Visit: 07/06/2021 |
| Patient Name | Mr. ABHIRAM BAG | Contact No | 8013220317 |
| Address | 11/A DUTTAS LANE, CHATRA, SERAMPORE | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||