Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12508 | Date 23/09/2023 |
| Token No | SM/22-23/27532 26/12/2023 | Serial | 040 Last Visit: 26/12/2023 |
| Patient Name | Mr. SAIKAT GHOSAL | Contact No | 6295995449 |
| Address | BANIPUR, AKUNI, HOOGHLY | Age | 32 Years,9 Months,20 Days Male |
| Token For | Pathology Test | Charge | Chargable |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||