Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06452 | Date 18/09/2019 |
| Token No | SM/19-20/10583 18/09/2019 | Serial | 004 Last Visit: 18/09/2019 |
| Patient Name | Mr. BIJAY GHOSH | Contact No | 9088603019 |
| Address | 30/32/A TARAPUKUR COLONY SERAMPORE | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||