Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 01745 | Date 05/03/2019 |
| Token No | SM/22-23/2739 19/04/2022 | Serial | 030 |
| Patient Name | Mr. SUBIR CHATTOPADHYAY | Contact No | 9331926312 |
| Address | 502B G.T.ROAD,MAHESH | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||