Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10054 | Date 07/09/2021 |
| Token No | SM/21-22/6132 22/10/2021 | Serial | 063 Last Visit: 22/10/2021 |
| Patient Name | Mr. MANINDRA SOM | Contact No | 9836086959 |
| Address | 24B BARUIPARA LANE CHATRA SERAMPORE | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||