Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11027 | Date 20/05/2022 |
| Token No | SM/22-23/12746 21/05/2022 | Serial | 018 Last Visit: 25/07/2022 |
| Patient Name | Mr. ANILESH GOSWAMI | Contact No | 9831153381 |
| Address | 10 DR, G.C GOSWAMI STREET SERAMPORE | Age | 85 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 162.5 cm BMI: 22.343195 |
| Diagnosis | |||