Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08876 | Date 15/10/2020 |
| Token No | SM/20-21/28412 14/12/2020 | Serial | 066 Last Visit: 18/04/2022 |
| Patient Name | Mr. MADAN PRASAD | Contact No | 6290380007 |
| Address | 251-81/5 R.M. SARANI,BAIDYABATI(M) | Age | 75 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||