Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08319 | Date 09/06/2020 |
| Token No | SM/19-20/22978 11/06/2020 | Serial | 028 Last Visit: 18/06/2020 |
| Patient Name | Mr. SANKAR DUTTA | Contact No | 6290366736 |
| Address | 44/3 PIYARAPUR ROAD HOOHGLY,BAIDYABATI(M) | Age | 73 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||