Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08661 | Date 24/08/2020 |
| Token No | SM/19-20/25059 24/08/2020 | Serial | 001 Last Visit: 24/08/2020 |
| Patient Name | Mr. SUKUMAR KARMAKAR | Contact No | 8013552369 |
| Address | 519/C G.T. ROAD SERAMPORE | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||