Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02532 | Date 24/08/2022 |
| Token No | SM/22-23/2276 25/08/2022 | Serial | 008 |
| Patient Name | Mr. MANTU MALAKAR | Contact No | 7890190082 |
| Address | 30/29 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 62 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||