Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01470 | Date 03/10/2018 |
| Token No | SM/20-21/30586 10/03/2021 | Serial | 024 Last Visit: 29/11/2021 |
| Patient Name | Mr. SUKUMAR MUKHERJEE | Contact No | |
| Address | 5, CHATRA CHOWDHURY PARA | Age | 70 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||