Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02252 | Date 30/11/2018 |
| Token No | SM/21-22/7637 09/12/2021 | Serial | 052 Last Visit: 16/12/2021 |
| Patient Name | Mr. SOMNATH ADHYKARI | Contact No | 9432087225 |
| Address | 79/K N N ROY STREET | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||