Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04323 | Date 14/06/2023 |
| Token No | SM/22-23/9552 14/06/2023 | Serial | 002 |
| Patient Name | Mr. PRADIP SARKAR | Contact No | 9748009490 |
| Address | 25/A/11 FD ROAD SERAMPORE M 712203 | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||