Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07426 | Date 27/01/2020 |
| Token No | SM/19-20/17378 28/01/2020 | Serial | 071 Last Visit: 28/01/2020 |
| Patient Name | Mr. SUBIR GOSWAMI | Contact No | 9163704900 |
| Address | VILL:KAMLAPUR, P.O- BARA , SINGUR | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||