Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08402 | Date 22/06/2020 |
| Token No | SM/19-20/23354 24/06/2020 | Serial | 026 Last Visit: 25/06/2020 |
| Patient Name | Mr. PRASENJIT ACHARYYA | Contact No | |
| Address | 30 AKRA BATI LANE SERAMPORE | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||