Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03060 | Date 05/11/2022 |
| Token No | SM/22-23/4154 07/11/2022 | Serial | 053 |
| Patient Name | Mr. PRAMBHIK CHAKRABORTY | Contact No | 9239432456 |
| Address | 9 PRABASHNAGAR SERAMPORE 712249 | Age | 26 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||