Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09276 | Date 03/03/2021 |
| Token No | SM/20-21/30358 04/03/2021 | Serial | 034 Last Visit: 08/03/2021 |
| Patient Name | Mr. SEKH SAHA ALAM | Contact No | 9088985878 |
| Address | 17/A T.C. GOSWAMI STREET ,SERAMPORE | Age | 59 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||