Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04586 | Date 09/07/2021 |
| Token No | SM/22-23/10676 05/07/2023 | Serial | 051 |
| Patient Name | Mr. PRADIP SENGUPTA | Contact No | 8017849691 |
| Address | 16 SITAL SARKAR LANE | Age | 69 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||