Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10889 | Date 06/04/2022 |
| Token No | SM/22-23/11492 06/04/2022 | Serial | 043 Last Visit: 06/04/2022 |
| Patient Name | Mr. S.N.ROY | Contact No | |
| Address | 52,N.S.AVENUE SERAMPORE | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||