Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05503 | Date 21/06/2019 |
| Token No | SM/21-22/6479 01/11/2021 | Serial | 012 Last Visit: 01/03/2023 |
| Patient Name | Mr. SYAMAL KUMAR LAHIRI | Contact No | 8017688453 |
| Address | USHARATH 6 ROY M . LAHIRI STREET CHATRA | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||