Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00804 | Date 29/08/2018 |
| Token No | SM/20-21/27757 24/11/2020 | Serial | 076 Last Visit: 28/05/2022 |
| Patient Name | Mr. SOUVIK PANDA | Contact No | 9433125738 |
| Address | SERAMPORE | Age | 38 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||