Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00946 | Date 14/02/2020 |
| Token No | SM/22-23/2769 15/09/2022 | Serial | 015 |
| Patient Name | Mr. MD RASID | Contact No | 8334915967 |
| Address | 4 RAYGHAT LANE SERAMPORE 712201 | Age | 79 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||