Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03222 | Date 23/11/2022 |
| Token No | SM/22-23/7956 01/04/2023 | Serial | 011 |
| Patient Name | Mr. ARBIND KUMAR RABIDAS | Contact No | 9123393820 |
| Address | 66/B/1 GURU GARDEN ROAD SERAMPORE 712249 | Age | 35 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||