Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02259 | Date 01/12/2018 |
| Token No | SM/20-21/29478 18/01/2021 | Serial | 029 Last Visit: 08/03/2021 |
| Patient Name | Mr. KRISHNA CHANDRA DAS | Contact No | 9883083831 |
| Address | BHATTCHARJEE PARA , BAIDYABATI (M) | Age | 73 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||