Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01101 | Date 28/02/2020 |
| Token No | SM/19-20/2721 29/02/2020 | Serial | 010 |
| Patient Name | Mr. PRANABLLAV MAJUMDAR | Contact No | 8629953642 |
| Address | 49/J/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 65 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||