Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10761 | Date 08/03/2022 |
| Token No | SM/21-22/10600 08/03/2022 | Serial | 025 Last Visit: 08/03/2022 |
| Patient Name | Mr. KUMARESH HALDER | Contact No | |
| Address | 27/A, ROY GHAT LANE SERAMPORE | Age | 41 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||