Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06326 | Date 03/09/2019 |
| Token No | SM/19-20/9771 04/09/2019 | Serial | 002 Last Visit: 04/09/2019 |
| Patient Name | Mr. SUBRATA SARKAR | Contact No | 9883621244 |
| Address | 268/370 G, GT ROAD , BAHIR ,SERAMPORE , BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||