Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05147 | Date 15/09/2023 |
| Token No | SM/22-23/13134 15/09/2023 | Serial | 011 |
| Patient Name | Mr. KUMARESH HALDER | Contact No | 9230239173 |
| Address | 27/A,ROY GHAT LANE SERAMPORE | Age | 78 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||