Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01959 | Date 23/04/2019 |
| Token No | SM/18-19/6253 06/09/2019 | Serial | 001 |
| Patient Name | Mr. PRADIP CHATTERJEE | Contact No | 6290238621 |
| Address | KAILASH CHATTERJEE LANE | Age | 60 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||