Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08663 | Date 24/08/2020 |
| Token No | SM/19-20/25062 24/08/2020 | Serial | 004 Last Visit: 24/08/2020 |
| Patient Name | Mr. SATYAJIT MAJUMDER | Contact No | 9477034120 |
| Address | B93Y TARAPUKUR GOV QATER | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||