Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06325 | Date 03/09/2019 |
| Token No | SM/21-22/6708 09/11/2021 | Serial | 034 Last Visit: 09/11/2021 |
| Patient Name | Mr. TUHIN BHATTCHARJEE | Contact No | 8582883093 |
| Address | 211 RAJDHARPUR , SERAMPORE | Age | 9 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||