Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03854 | Date 25/02/2019 |
| Token No | SM/19-20/9802 05/09/2019 | Serial | 002 Last Visit: 14/09/2019 |
| Patient Name | Mr. GORACHAND BENERJEE | Contact No | 8334928461 |
| Address | 9 CHATRA CHOWDHURI PARA | Age | 78 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||