Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02975 | Date 22/10/2022 |
| Token No | SM/22-23/3736 22/10/2022 | Serial | 015 |
| Patient Name | Mr. BIKRAM MAJUMDER | Contact No | 8100581910 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||