Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08099 | Date 17/04/2020 |
| Token No | SM/19-20/21299 18/04/2020 | Serial | 008 Last Visit: 18/04/2020 |
| Patient Name | Mr. GOPAL BISWAS | Contact No | 8422028186 |
| Address | 77 K M SHA STREET | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||