Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06224 | Date 27/06/2022 |
| Token No | SM/22-23/3665 28/06/2022 | Serial | 042 |
| Patient Name | Mr. ASIS KUMAR CHATTERJEE | Contact No | 9830961799 |
| Address | 16 E PANCHANANTALA LANE | Age | 42 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||