Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06532 | Date 04/04/2024 |
| Token No | SM/24-25/20557 05/04/2024 | Serial | 003 |
| Patient Name | Mr. ATINDRA NATH SANYAL | Contact No | 7044129882 |
| Address | 28/C TARAPUKUR LANE 712203 | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||