Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09982 | Date 25/08/2021 |
| Token No | SM/21-22/4511 27/08/2021 | Serial | 046 Last Visit: 22/04/2022 |
| Patient Name | Mr. NANDADULAL GHOSAL | Contact No | 9433946230 |
| Address | 88 NETAJI SUBHAS AVENEUE | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||