Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08871 | Date 15/10/2020 |
| Token No | SM/20-21/26751 16/10/2020 | Serial | 028 Last Visit: 28/10/2021 |
| Patient Name | Mr. PARITOSH KUMAR GHOSH | Contact No | 9477454938 |
| Address | 3 A.P. GHOSH ROAD,CHATRA | Age | 77 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||