Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09730 | Date 18/06/2021 |
| Token No | SM/21-22/2357 18/06/2021 | Serial | 026 Last Visit: 18/06/2021 |
| Patient Name | Mr. RATAN BHATTACHARYA | Contact No | |
| Address | 159/X TARAPUKUR HOUSING STATE MALLICKPARA | Age | 59 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||