Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07157 | Date 16/12/2019 |
| Token No | SM/19-20/15360 16/12/2019 | Serial | 024 Last Visit: 16/12/2019 |
| Patient Name | Mr. SANDIP BAIRAGI | Contact No | 8013240834 |
| Address | 26, SANIPARA LANE SERAMPORE | Age | 20 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||