Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10947 | Date 21/04/2022 |
| Token No | SM/22-23/11903 21/04/2022 | Serial | 044 Last Visit: 21/04/2022 |
| Patient Name | Master BISWANATH MALIK | Contact No | |
| Address | CHATRA DHARMATALA | Age | 9 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||