Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08430 | Date 23/02/2023 |
| Token No | SM/22-23/14193 10/01/2024 | Serial | 008 |
| Patient Name | Mr. AMAY GHOSH | Contact No | 9051985820 |
| Address | CHATRA SHITALATALA G T ROAD, BAIDYABATI | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||