Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03502 | Date 29/11/2019 |
| Token No | SM/19-20/8121 18/12/2019 | Serial | 006 |
| Patient Name | Mr. ANIMESH KUNDU | Contact No | 9830959238 |
| Address | 17/A /1 CHOWDHURY PARA LANE | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||