Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05394 | Date 07/02/2022 |
| Token No | SM/21-22/2118 09/02/2022 | Serial | 007 |
| Patient Name | Mr. RATHINDRANATH KAYAL | Contact No | 9804896837 |
| Address | 169X TARAPUKUR HOUSING | Age | 66 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||