Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03607 | Date 14/01/2023 |
| Token No | SM/24-25/36347 04/03/2025 | Serial | 002 |
| Patient Name | Mr. SANDIP GHOSH | Contact No | 9732123991 |
| Address | KALNA BURDWAN 713409 | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||