Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09870 | Date 26/07/2021 |
| Token No | SM/22-23/12352 11/05/2022 | Serial | 014 Last Visit: 08/08/2022 |
| Patient Name | Mr. PRABIR BHATTACHARJEE | Contact No | 7059531074 |
| Address | THAKUR DAS BABU LANE SERAMPORE | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||