Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00112 | Date 13/09/2019 |
| Token No | SM/22-23/4609 21/11/2022 | Serial | 017 |
| Patient Name | Mr. CHITTARANJAN PAL | Contact No | 9831663114 |
| Address | GHORAMARA P PURBAPARA,SERAMPORE 712203 | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||