Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04073 | Date 24/04/2023 |
| Token No | SM/22-23/8337 24/04/2023 | Serial | 004 |
| Patient Name | Mr. KALPAK GHOSH | Contact No | |
| Address | SERAMPORE | Age | 7 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||