Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05847 | Date 19/07/2019 |
| Token No | SM/21-22/6668 08/11/2021 | Serial | 063 Last Visit: 08/11/2021 |
| Patient Name | Mr. SUDIPTA SHOW | Contact No | 8777078179 |
| Address | 102, RAMKRISHNA ROAD,MANNA PARA,BAIDYABATI(M) | Age | 20 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||