Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02382 | Date 03/08/2022 |
| Token No | SM/22-23/7703 21/03/2023 | Serial | 009 |
| Patient Name | Mr. ISRAFIL SEKH | Contact No | 9641540332 |
| Address | TARAPUR ROAD MALLICK PARA SERAMPORE 712203 | Age | 46 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||