Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00810 | Date 27/01/2020 |
| Token No | SM/19-20/1882 28/01/2020 | Serial | 037 |
| Patient Name | Mr. SOMNATH MAHATO | Contact No | |
| Address | 3/A MUCHIPARA MALLICKPARA SERAMPORE 712203 | Age | 61 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||