Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04372 | Date 10/05/2021 |
| Token No | SM/22-23/4938 06/09/2022 | Serial | 053 |
| Patient Name | Mr. SWAPAN DASGUPTA | Contact No | 8334052232 |
| Address | 10 DEY BAGAN LANE | Age | 51 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||