Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04378 | Date 27/06/2023 |
| Token No | SM/22-23/9939 27/06/2023 | Serial | 011 |
| Patient Name | Mr. BABAI SEN | Contact No | 7278070562 |
| Address | PROVASNAGAR M.J ROAD SERAMPORE M 712249 | Age | 23 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||