Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05736 | Date 25/11/2023 |
| Token No | SM/22-23/17481 16/01/2024 | Serial | 003 |
| Patient Name | Mr. ARUP SIL | Contact No | 8017058472 |
| Address | 127/A NEHERU NAGAR COLONY SERAMPORE 712202 | Age | 34 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||