Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02151 | Date 06/07/2022 |
| Token No | SM/22-23/1187 07/07/2022 | Serial | 009 |
| Patient Name | Mr. ANSH CHOWDHURY | Contact No | 9330919112 |
| Address | 56 RAILAND ROAD SERAMPORE 712201 | Age | 8 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||