Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04100 | Date 27/04/2023 |
| Token No | SM/22-23/8430 27/04/2023 | Serial | 003 |
| Patient Name | Master ARPAN PRAMANICK | Contact No | |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 5 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||