Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10791 | Date 12/03/2022 |
| Token No | SM/22-23/11314 02/04/2022 | Serial | 008 Last Visit: 02/04/2022 |
| Patient Name | Mr. LAKSHMAN DAS | Contact No | |
| Address | 17 NO P.N.K.B LANE CHATRA SERAMPORE | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||