Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05305 | Date 15/01/2022 |
| Token No | SM/21-22/2514 23/03/2022 | Serial | 012 |
| Patient Name | Mr. BISWAJIT DUTTA | Contact No | 9088551918 |
| Address | 1. M.P.LANE | Age | 53 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||