Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10335 | Date 25/11/2021 |
| Token No | SM/21-22/9634 07/02/2022 | Serial | 024 Last Visit: 18/10/2022 |
| Patient Name | Mr. SEKH SAMIRUL ISLAM | Contact No | 9930602776 |
| Address | DIGNAGAR,HOOGHLY | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||