Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10895 | Date 08/04/2022 |
| Token No | SM/22-23/11611 09/04/2022 | Serial | 042 Last Visit: 20/04/2022 |
| Patient Name | Mr. SAMIR DAS | Contact No | 9674667398 |
| Address | 22 P.N. CHAKRABORTY LANE SERAMPORE | Age | 37+ Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||