Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03240 | Date 24/11/2022 |
| Token No | SM/22-23/4733 25/11/2022 | Serial | 020 |
| Patient Name | Mr. MANOJ KUMAR GUPTA | Contact No | 8100667610 |
| Address | 36/B MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 37 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||