Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05146 | Date 15/09/2023 |
| Token No | SM/22-23/13133 15/09/2023 | Serial | 010 |
| Patient Name | Mr. SWAPAN PARUI | Contact No | 8554887247 |
| Address | 27 NO A P GHOSH ROAD CHATRA SERAMPORE | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||