Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09359 | Date 19/03/2021 |
| Token No | SM/22-23/11905 21/04/2022 | Serial | 046 Last Visit: 14/05/2022 |
| Patient Name | Mr. DILIP SAHA | Contact No | 7890226551 |
| Address | 84 NEHERUNAGAR COLONY, MAHESH, SERAMPORE | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||