Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06037 | Date 02/08/2019 |
| Token No | SM/19-20/8728 20/08/2019 | Serial | 007 Last Visit: 05/06/2020 |
| Patient Name | Mr. KALYAN GHOSH | Contact No | 8478917823 |
| Address | 30 K.K MUKHERJEE SARANI (JYOTI PLACE) | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||