Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10056 | Date 07/09/2021 |
| Token No | SM/21-22/4834 07/09/2021 | Serial | 011 Last Visit: 18/09/2021 |
| Patient Name | Mr. PRADIP BHATTACHARJEE | Contact No | |
| Address | 27,G.T.ROAD JHIL BAGAN SERAMPORE | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||