Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09688 | Date 08/06/2021 |
| Token No | SM/21-22/11156 29/03/2022 | Serial | 015 Last Visit: 29/03/2022 |
| Patient Name | Mr. KAUSTAV GHOSH | Contact No | 8420130454 |
| Address | 8/A CHAKRABORTY LANE SERAMPORE | Age | 29 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||