Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10699 | Date 31/10/2023 |
| Token No | SM/22-23/13108 31/10/2023 | Serial | 002 |
| Patient Name | Mr. KAJAL KRISHNA BHATTACHARYA | Contact No | 9830790228 |
| Address | 16/D/3 DB BHATTACHARYA LANE,MAHESH | Age | 83 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||