Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10522 | Date 07/01/2022 |
| Token No | SM/21-22/8714 08/01/2022 | Serial | 045 Last Visit: 13/01/2022 |
| Patient Name | Mr. SUSHANTA BELEL | Contact No | 9331511294 |
| Address | 117,SATCHASI PARA BAIDYABATI | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||