Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10697 | Date 21/02/2022 |
| Token No | SM/21-22/10189 23/02/2022 | Serial | 040 Last Visit: 19/12/2022 |
| Patient Name | Mr. DEBEN DAS | Contact No | 9153159618 |
| Address | MALLIKPUR SINGUR | Age | 84 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||