Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10561 | Date 14/01/2022 |
| Token No | SM/21-22/9398 28/01/2022 | Serial | 015 Last Visit: 22/03/2022 |
| Patient Name | Mr. ASHTA DAS | Contact No | 9674810958 |
| Address | 12,CHAKRABARTY LANE SERAMPORE | Age | 75 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||