Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03569 | Date 14/02/2019 |
| Token No | SM/19-20/4694 17/06/2019 | Serial | 011 Last Visit: 04/06/2020 |
| Patient Name | Mr. SK SOVAN | Contact No | 9836383961 |
| Address | MALLICK PARA,SERAMPORE | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||