Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02988 | Date 05/09/2019 |
| Token No | SM/18-19/6257 06/09/2019 | Serial | 005 |
| Patient Name | Master ADITYA KUMAR GUPTA | Contact No | 9088872598 |
| Address | 13 KAILASH CHATTERJEE LANE | Age | 10 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||