Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10093 | Date 22/08/2023 |
| Token No | SM/22-23/11875 22/08/2023 | Serial | 054 |
| Patient Name | Mr. DEBASISH SARKAR | Contact No | 9123305947 |
| Address | 17 KAILASH CHATTERJE LANE | Age | 33 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||