Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01916 | Date 13/06/2022 |
| Token No | SM/22-23/585 15/06/2022 | Serial | 028 |
| Patient Name | Mr. SUBRATA DAS | Contact No | 7679683342 |
| Address | PURBAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 7 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||