Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03885 | Date 27/02/2019 |
| Token No | SM/19-20/3262 23/05/2019 | Serial | 010 Last Visit: 17/01/2024 |
| Patient Name | Mr. NEMAI SARKAR | Contact No | 9073806101 |
| Address | CHATRA SHITALA TALA,BAIDYABATI(M) | Age | 62 Years,0 Months,15 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||