Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01356 | Date 26/09/2018 |
| Token No | SM/21-22/6666 08/11/2021 | Serial | 061 Last Visit: 08/11/2021 |
| Patient Name | Mr. SHANTANU GOANI | Contact No | 6290836143 |
| Address | CHANDANNAGAR | Age | 27 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||