Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 08306 | Date 04/06/2020 |
| Token No | SM/19-20/22727 04/06/2020 | Serial | 012 Last Visit: 04/06/2020 |
| Patient Name | Mr. ASHOK CHAKRABORTY | Contact No | 9836465411 |
| Address | 22/C J.GHAT LANE | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||