Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07787 | Date 14/03/2020 |
| Token No | SM/19-20/19623 14/03/2020 | Serial | 026 Last Visit: 14/03/2020 |
| Patient Name | Mr. SRIRAJIT CHAKRABORTY | Contact No | |
| Address | SERAMPORE | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||