Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02400 | Date 05/08/2022 |
| Token No | SM/22-23/1864 05/08/2022 | Serial | 007 |
| Patient Name | Mr. TARAKNATH MALLICK | Contact No | 8276089142 |
| Address | 62/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||