Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 14324 | Date 01/10/2024 |
| Token No | SM/24-25/37826 01/10/2024 | Serial | 017 Last Visit: 01/10/2024 |
| Patient Name | Mr. SOMNATH ADHIKARY | Contact No | |
| Address | 11 NO B P 2ND LANE | Age | 55 Years,0 Months,0 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||