Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02176 | Date 07/07/2022 |
| Token No | SM/22-23/17093 02/01/2024 | Serial | 004 |
| Patient Name | Mr. SOUMEN SUTRADHAR | Contact No | 9831813933 |
| Address | GHORAMARA P HOOGHLY 712203 | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||