Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02287 | Date 03/12/2018 |
| Token No | SM/21-22/9230 21/01/2022 | Serial | 038 Last Visit: 10/07/2024 |
| Patient Name | Mr. KANTU GHOSH | Contact No | 8013531994 |
| Address | CHATRA SHITALATALA,BAIDAYBATY(M) | Age | 62 Years,6 Months,7 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||