Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02426 | Date 08/07/2019 |
| Token No | SM/18-19/7613 21/11/2019 | Serial | 034 |
| Patient Name | Mr. SURAJIT PAL | Contact No | 9163219812 |
| Address | 2B KAILASH CHATTERJEE LANE | Age | 47 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||