Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04794 | Date 11/08/2023 |
| Token No | SM/22-23/11696 11/08/2023 | Serial | 016 |
| Patient Name | Mr. ARABINDA GHOSH | Contact No | 9874275001 |
| Address | 2 GHOSH PARA 1ST LANE CHATRA , SERAMPORE | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||