Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04867 | Date 23/04/2019 |
| Token No | SM/21-22/6667 08/11/2021 | Serial | 062 Last Visit: 08/11/2021 |
| Patient Name | Mr. SUBRATA KR MAJHI | Contact No | 8697613076 |
| Address | 59 RAMKRISHNA ROAD , BAIDYABATI(M) | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||