Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06535 | Date 28/07/2022 |
| Token No | SM/22-23/15520 28/03/2024 | Serial | 055 |
| Patient Name | Mr. KALYAN SENGUPTA | Contact No | 9433346092 |
| Address | 623 G.T.ROAD | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||