Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13378 | Date 05/03/2024 |
| Token No | SM/22-23/29903 05/03/2024 | Serial | 015 Last Visit: 05/03/2024 |
| Patient Name | Mr. SAMAR SANTRA | Contact No | |
| Address | MOSAT HOOGHLY | Age | 43 Years,2 Months,2 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||