Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02810 | Date 28/09/2022 |
| Token No | SM/22-23/3339 11/10/2022 | Serial | 008 |
| Patient Name | Mr. BISWANATH ROY | Contact No | 8697613975 |
| Address | 55 RAYLAND ROAD SERAMPORE 712201 | Age | 70 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||