Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05512 | Date 09/03/2022 |
| Token No | SM/22-23/12846 29/09/2023 | Serial | 046 |
| Patient Name | Mr. SAMIR DUTTA | Contact No | 9007139941 |
| Address | BAHIR SERAMPORE | Age | 75 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||