Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05340 | Date 24/01/2022 |
| Token No | SM/21-22/2052 01/02/2022 | Serial | 001 |
| Patient Name | Mr. SUBHASISH BHATTACHARJEE | Contact No | 9674513110 |
| Address | 117 G T ROAD, MANIKTALA | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||