Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05150 | Date 15/09/2023 |
| Token No | SM/22-23/13137 15/09/2023 | Serial | 014 |
| Patient Name | Mr. SUBHAJIT DASGUPTA | Contact No | 9831897067 |
| Address | 60 J.N LAHIRI ROAD SERAMPORE | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||