Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06685 | Date 18/10/2019 |
| Token No | SM/21-22/4854 07/09/2021 | Serial | 031 Last Visit: 18/07/2024 |
| Patient Name | Mr. RABINDRANATH PAUL | Contact No | 9051063035 |
| Address | 84/B CHATRA BARUI PARA LANE,BROMHATALA, | Age | 75 Years,6 Months,15 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||