Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01137 | Date 06/03/2020 |
| Token No | SM/19-20/2932 07/03/2020 | Serial | 030 |
| Patient Name | Mr. SHIBU MAJUMDAR | Contact No | |
| Address | MALPARA SERAMPORE 712203 | Age | 60 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||