Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06808 | Date 06/11/2019 |
| Token No | SM/21-22/2869 05/07/2021 | Serial | 053 Last Visit: 05/07/2021 |
| Patient Name | Mr. RAMPIYARI MOHALI | Contact No | 8420603577 |
| Address | PANDIT SATGHARA , MALLICKPARA HOOGHLY | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||