Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03421 | Date 16/12/2022 |
| Token No | SM/22-23/5368 17/12/2022 | Serial | 001 |
| Patient Name | Mr. AJAHAR MALLIK | Contact No | 7045569444 |
| Address | 24 TARAPUKUR LANE SERAMPORE 712203 | Age | 22 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||