Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03715 | Date 04/02/2023 |
| Token No | SM/22-23/8248 17/04/2023 | Serial | 029 |
| Patient Name | Mr. BHOLA ROY | Contact No | 7059319118 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 43 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||