Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04286 | Date 08/06/2023 |
| Token No | SM/22-23/9400 09/06/2023 | Serial | 004 |
| Patient Name | Mr. PURNIMA MANNA | Contact No | 6290315109 |
| Address | 196 RAJENDRA AVENUE UTTARPARA M HOOGHLY | Age | 38 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||