Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05893 | Date 22/07/2019 |
| Token No | SM/19-20/25109 24/08/2020 | Serial | 051 Last Visit: 26/08/2020 |
| Patient Name | Mr. BISWAJIT HALDAR | Contact No | 8820450756 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 31 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||