Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10168 | Date 01/10/2021 |
| Token No | SM/21-22/10519 05/03/2022 | Serial | 022 Last Visit: 08/06/2022 |
| Patient Name | Mr. JAYANTA DAS | Contact No | 967411566 |
| Address | 92,SATCHASHI PARA SERAMPORE | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||