Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03208 | Date 21/11/2022 |
| Token No | SM/22-23/4610 21/11/2022 | Serial | 018 |
| Patient Name | Mr. NEMAI NANDI | Contact No | 9830050813 |
| Address | 50/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 65 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||