Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02434 | Date 10/08/2022 |
| Token No | SM/22-23/1955 10/08/2022 | Serial | 053 |
| Patient Name | Mr. ARGHA SENGUPTA | Contact No | |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 38 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||