Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02193 | Date 12/07/2022 |
| Token No | SM/22-23/2415 02/09/2022 | Serial | 006 |
| Patient Name | Mr. RABINDRA CH DEY | Contact No | 9038904885 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||