Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09314 | Date 12/03/2021 |
| Token No | SM/20-21/30660 12/03/2021 | Serial | 054 Last Visit: 12/03/2021 |
| Patient Name | Mr. RAM KUMAR SUKUL | Contact No | 7003298835 |
| Address | 11/A/3/2 SHIBTALA LANE SERAMPORE(M) | Age | 73 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||