Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10012 | Date 31/08/2021 |
| Token No | SM/21-22/6669 08/11/2021 | Serial | 064 Last Visit: 08/11/2021 |
| Patient Name | Mr. BUDDHI KANTA JHA | Contact No | |
| Address | 54,N.N ROY STREET SERAMPORE | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||