Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04316 | Date 12/06/2023 |
| Token No | SM/22-23/9521 12/06/2023 | Serial | 040 |
| Patient Name | Mr. NAGENDRA PRASAD | Contact No | 9830568113 |
| Address | GHORAMARA PURBAPARA SERAMPORE P 712203 | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||