Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11372 | Date 29/07/2022 |
| Token No | SM/22-23/15200 29/07/2022 | Serial | 045 Last Visit: 29/07/2022 |
| Patient Name | Mr. JOGEN MONDAL | Contact No | |
| Address | 51/A BOROBAGAN LANE SERAMPORE | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||