Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10571 | Date 17/01/2022 |
| Token No | SM/21-22/9036 17/01/2022 | Serial | 052 Last Visit: 17/01/2022 |
| Patient Name | Mr. INDRAJIT CHAKRABORTY | Contact No | |
| Address | 38,A.P.GHOSH ROAD CHATRA SERAMPORE | Age | 50 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||