Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02098 | Date 29/06/2022 |
| Token No | SM/22-23/5755 29/12/2022 | Serial | 026 |
| Patient Name | Mr. MOLOY MITRA | Contact No | 6291674175 |
| Address | 44/A G T ROAD WEST JHILBAGAN SERAMPORE 712203 | Age | 54 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||