Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04551 | Date 20/07/2023 |
| Token No | SM/22-23/18652 16/02/2024 | Serial | 006 |
| Patient Name | Mr. RABI SANKAR MONDAL | Contact No | 9679336716 |
| Address | DAKSHIN CHANDRA HOOGHLY 712514 | Age | 44 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||