Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12831 | Date 08/12/2023 |
| Token No | SM/22-23/26866 08/12/2023 | Serial | 008 Last Visit: 08/12/2023 |
| Patient Name | Mr. AMAR NATH BANERJEE | Contact No | |
| Address | 17/D BHAGIRATHI LANE SERAMPORE | Age | 63 Years,11 Months,6 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||