Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09282 | Date 05/03/2021 |
| Token No | SM/20-21/30403 05/03/2021 | Serial | 025 Last Visit: 05/03/2021 |
| Patient Name | Mr. DEEP SINGH | Contact No | |
| Address | MANNA PARA SERAMPORE | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||