Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06572 | Date 30/09/2019 |
| Token No | SM/19-20/11380 30/09/2019 | Serial | 053 Last Visit: 30/09/2019 |
| Patient Name | Mr. PRADIP BENERJEE | Contact No | 9088062478 |
| Address | GOBINDAPUR,HOOGHLY,DIARA | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||