Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02883 | Date 13/10/2022 |
| Token No | SM/22-23/3427 13/10/2022 | Serial | 033 |
| Patient Name | Mr. ANIMESH SARKAR | Contact No | 9038626498 |
| Address | MOLLABAR ,HOOGHLY 712250 | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||