Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 03306 | Date 02/12/2022 |
| Token No | SM/22-23/4943 02/12/2022 | Serial | 011 |
| Patient Name | Mr. ANIL KUMAR ROY | Contact No | 8820582199 |
| Address | 189/3 MAHESH COLONY SERAMPORE 712202 | Age | 39 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||