Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08854 | Date 12/10/2020 |
| Token No | SM/20-21/26580 12/10/2020 | Serial | 075 Last Visit: 12/10/2020 |
| Patient Name | Mr. GOPINATH CHAKRABORTY | Contact No | |
| Address | CHATRA | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||