Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10511 | Date 06/01/2022 |
| Token No | SM/21-22/8809 10/01/2022 | Serial | 091 Last Visit: 10/01/2022 |
| Patient Name | Mr. RANJIT KUMAR KARMAKAR | Contact No | 9433346036 |
| Address | 18 L.M. BHATTACHARYA STREET | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||