Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08774 | Date 24/09/2020 |
| Token No | SM/21-22/8170 27/12/2021 | Serial | 062 Last Visit: 25/01/2023 |
| Patient Name | Mr. GOPAL GHOSH | Contact No | 9339372572 |
| Address | 298(109) G T ROAD BAIDYABATI(M) | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||