Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03209 | Date 22/11/2022 |
| Token No | SM/22-23/4652 23/11/2022 | Serial | 009 |
| Patient Name | Mr. SUBAL HALDER | Contact No | 9330669577 |
| Address | 43/14/2/A PRABASHNAGAR SERAMPORE 712249 | Age | 59 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||