Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 02682 | Date 12/09/2022 |
| Token No | SM/22-23/2722 14/09/2022 | Serial | 014 |
| Patient Name | Mr. RAJENDRA MISHRA | Contact No | 9088691336 |
| Address | 6/26/1 BAISHNAB PARA FIRST LANE SERAMPORE 712202 | Age | 44 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||