Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02651 | Date 22/12/2018 |
| Token No | SM/22-23/12374 11/05/2022 | Serial | 036 Last Visit: 18/08/2022 |
| Patient Name | Mr. SANTOSH NANDY | Contact No | 9051106228 |
| Address | 39N GT ROAD CHATRA ,BAIDYABATI (M) | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||