Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10943 | Date 20/04/2022 |
| Token No | SM/22-23/11854 20/04/2022 | Serial | 042 Last Visit: 20/04/2022 |
| Patient Name | Mr. SUBHAM GHOSH | Contact No | |
| Address | 56/A/1 MALLICKPARA LANE SERAMPORE | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||