Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02667 | Date 09/09/2022 |
| Token No | SM/22-23/2727 14/09/2022 | Serial | 019 |
| Patient Name | Mr. MANIK DEBNATH | Contact No | 9874032774 |
| Address | TARAPUKUR QUARTER SERAMPORE 712203 | Age | 40 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||