Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06217 | Date 26/08/2019 |
| Token No | SM/19-20/9227 27/08/2019 | Serial | 035 Last Visit: 24/04/2023 |
| Patient Name | Mr. BANAMALI ROY | Contact No | 9681931323 |
| Address | 209 TELI PARA BAGER BAGAN CHATRA , BAIDYABATI(M) | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||