Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09878 | Date 27/07/2021 |
| Token No | SM/21-22/3594 28/07/2021 | Serial | 028 Last Visit: 07/08/2021 |
| Patient Name | Mr. BIDYUT GHOSH | Contact No | 7890054723 |
| Address | PAMPANAGAR BAIDYABATI | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||