Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10411 | Date 13/12/2021 |
| Token No | SM/21-22/7720 13/12/2021 | Serial | 017 Last Visit: 13/12/2021 |
| Patient Name | Mr. SUSANTA SIL | Contact No | |
| Address | PROBHAS NAGAR CHAKLAPARA SERAMPORE | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||