Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04933 | Date 24/08/2023 |
| Token No | SM/22-23/12270 24/08/2023 | Serial | 025 |
| Patient Name | Mr. CHINMOY SOM | Contact No | 9836074282 |
| Address | 17 D CHATRA DUTTAPARA SERAMPORE | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||