Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09209 | Date 25/01/2021 |
| Token No | SM/21-22/5221 18/09/2021 | Serial | 033 Last Visit: 17/08/2022 |
| Patient Name | Mr. UTTAM PAL | Contact No | 8621921041 |
| Address | BORA KAMALA PURE,HOOGHLY | Age | 53 yrs Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||