Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07105 | Date 07/12/2019 |
| Token No | SM/19-20/14872 07/12/2019 | Serial | 039 Last Visit: 07/12/2019 |
| Patient Name | Mr. ANIK MUKHERJEE | Contact No | |
| Address | P.N.MUKHERJEE STREET | Age | 18 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||