Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03307 | Date 02/12/2022 |
| Token No | SM/22-23/4944 02/12/2022 | Serial | 012 |
| Patient Name | Mr. SANTANU GHOSH | Contact No | 6290362996 |
| Address | 65/14 F.D ROAD SERAMPORE 712203 | Age | 23 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||