Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13696 | Date 16/05/2024 |
| Token No | SM/24-25/32567 16/05/2024 | Serial | 014 Last Visit: 16/05/2024 |
| Patient Name | Mr. ATANU DAS | Contact No | |
| Address | BARUIPARA , SHIV TALA | Age | 22 Years,0 Months,15 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||