Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09367 | Date 15/06/2023 |
| Token No | SM/22-23/10311 17/06/2023 | Serial | 007 |
| Patient Name | Mr. BARID BARAN MUKHERJEE | Contact No | 9051725553 |
| Address | 52C BHAGIRATHI LANE | Age | 82 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||