Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05018 | Date 04/05/2019 |
| Token No | SM/20-21/30047 02/02/2021 | Serial | 056 Last Visit: 02/08/2021 |
| Patient Name | Mr. BIMALENDU MUKHERJEE | Contact No | 7044395747 |
| Address | 4,CHOWDHURY PARA LANE CHATRA | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||