Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10896 | Date 08/04/2022 |
| Token No | SM/22-23/11555 08/04/2022 | Serial | 029 Last Visit: 08/04/2022 |
| Patient Name | Mr. BIJIT CHATTERJEE | Contact No | |
| Address | 10,PANCHANAN TALA LANA SERAMPORE HOOGHLY | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||