Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02447 | Date 09/07/2019 |
| Token No | SM/18-19/4822 16/07/2019 | Serial | 038 |
| Patient Name | Mr. SANKAR DAS | Contact No | 8013509197 |
| Address | 29 GOBINDA BHATTACHARYA LANE | Age | 51 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||