Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02384 | Date 03/08/2022 |
| Token No | SM/22-23/1856 04/08/2022 | Serial | 012 |
| Patient Name | Mr. NIKHIL SETH | Contact No | 9163987427 |
| Address | 65/25 GURU GARDEN ROAD SERAMPORE 712249 | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||