Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02783 | Date 24/09/2022 |
| Token No | SM/22-23/3031 24/09/2022 | Serial | 040 |
| Patient Name | Mr. BISHU DEBNATH | Contact No | 9748283873 |
| Address | TARAPUKUR LANE SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||