Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10246 | Date 28/10/2021 |
| Token No | SM/21-22/6347 28/10/2021 | Serial | 013 Last Visit: 28/10/2021 |
| Patient Name | Mr. IMTAZ KHAN | Contact No | |
| Address | A.K.C.BHATTACARJEE STREET | Age | 30 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||