Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12654 | Date 19/10/2023 |
| Token No | SM/22-23/25827 01/11/2023 | Serial | 054 Last Visit: 24/11/2023 |
| Patient Name | Mr. MD AKBAR ANSARI | Contact No | 8100008184 |
| Address | 32/A TULSI CHARAN GOSWAMI STREET SERAMPORE | Age | 27 Years,10 Months,7 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||