Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02832 | Date 04/01/2019 |
| Token No | SM/21-22/218 06/04/2021 | Serial | 062 Last Visit: 05/10/2021 |
| Patient Name | Mr. UTAAM KUMAR DEY | Contact No | 9875254097 |
| Address | CHATRA CHOWDHURY PARA | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||