Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00661 | Date 11/09/2018 |
| Token No | SM/18-19/4983 18/07/2019 | Serial | 009 |
| Patient Name | Mr. TARUN KR SETH | Contact No | 9433641551 |
| Address | 10 CHATTERJEE LANE | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||