Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02817 | Date 29/09/2022 |
| Token No | SM/25-26/9788 01/11/2025 | Serial | 013 |
| Patient Name | Mr. SUJAY GHOSH | Contact No | 9732123991 |
| Address | KALNA | Age | 44 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||