Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03262 | Date 26/11/2022 |
| Token No | SM/22-23/4797 28/11/2022 | Serial | 012 |
| Patient Name | Mr. ADITYA BHATTACHARYA | Contact No | 9330603406 |
| Address | 43/16 PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||