Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02535 | Date 24/08/2022 |
| Token No | SM/22-23/4608 21/11/2022 | Serial | 016 |
| Patient Name | Mr. FAKIR SEKH | Contact No | |
| Address | TARAPURLANE SERAMPORE 712203 | Age | 57 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||