Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02845 | Date 20/08/2019 |
| Token No | SM/18-19/5966 27/08/2019 | Serial | 046 |
| Patient Name | Mr. PRATYUSH KUMAR DEY | Contact No | 9477502081 |
| Address | 5E GOPAL GANGULY LANE | Age | 53 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||