Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05362 | Date 08/06/2019 |
| Token No | SM/21-22/4851 07/09/2021 | Serial | 028 Last Visit: 17/12/2021 |
| Patient Name | Mr. BECHU DAS | Contact No | 7449881678 |
| Address | 8 KANAI DEWAN TALA BYE LANE SERAMPORE | Age | 72 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||