Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 05494 | Date 21/10/2023 |
| Token No | SM/22-23/14685 21/10/2023 | Serial | 016 |
| Patient Name | Mr. SUBHO SARKAR | Contact No | 6290614508 |
| Address | 1/A/2/T RAILAND CIRCULAR ROAD | Age | 25 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||