Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06851 | Date 13/11/2019 |
| Token No | SM/19-20/13820 23/11/2019 | Serial | 015 Last Visit: 06/12/2019 |
| Patient Name | Mr. NIRMAL BARIK | Contact No | 9748849248 |
| Address | MOLLASIMLA , HOOGHLY | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||