Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01535 | Date 30/04/2020 |
| Token No | SM/22-23/7838 27/03/2023 | Serial | 013 |
| Patient Name | Mr. DIP CHATTERJEE | Contact No | 9674272591 |
| Address | 79/X TARAPUKUR GOVT QUARTER ERAMPORE 712203 | Age | 27 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||