Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08705 | Date 04/09/2020 |
| Token No | SM/19-20/25454 04/09/2020 | Serial | 025 Last Visit: 04/09/2020 |
| Patient Name | Mr. ASHOK DALAL | Contact No | 8479895898 |
| Address | CHATRA SHITLATALA , BAIDYABATI(M) | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||