Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00738 | Date 27/08/2018 |
| Token No | SM/19-20/5724 02/07/2019 | Serial | 014 Last Visit: 27/04/2021 |
| Patient Name | Mr. AJIT KUMAR ADHIKARY | Contact No | 8481803265 |
| Address | 13/B CHATRA CHOWDHURY PARA | Age | 74 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||