Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12827 | Date 08/12/2023 |
| Token No | SM/22-23/26862 08/12/2023 | Serial | 004 Last Visit: 08/12/2023 |
| Patient Name | Mr. RATAN NATH | Contact No | 9330927212 |
| Address | SERAMPORE | Age | 45 Years,11 Months,5 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||