Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09049 | Date 14/12/2020 |
| Token No | SM/21-22/8862 11/01/2022 | Serial | 053 Last Visit: 17/03/2022 |
| Patient Name | Mr. MD YOUSUF | Contact No | 9748523767 |
| Address | MOLLASIMLA , DAKSHINPARA SINGUR | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||