Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08525 | Date 10/07/2020 |
| Token No | SM/19-20/24015 11/07/2020 | Serial | 006 Last Visit: 17/07/2020 |
| Patient Name | Mr. ABUL HASAN | Contact No | 9883246680 |
| Address | 23 PARSI LANE SERAMPORE | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||