Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13133 | Date 18/01/2024 |
| Token No | SM/22-23/28244 18/01/2024 | Serial | 028 Last Visit: 18/01/2024 |
| Patient Name | Mr. BIKASH CHALKI | Contact No | |
| Address | ALIPUR,MASAT, HOOGHLY | Age | 39 Years,0 Months,16 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||