Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04085 | Date 10/11/2020 |
| Token No | SM/21-22/1298 26/10/2021 | Serial | 022 |
| Patient Name | Mr. DILIP KUNDU | Contact No | 9163159435 |
| Address | 35 A K C BHATTACHARYA STREET | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||