Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06225 | Date 28/06/2022 |
| Token No | SM/22-23/5007 08/09/2022 | Serial | 026 |
| Patient Name | Mr. JAYANTA CHATTERJEE | Contact No | 7461056226 |
| Address | 10 CHATTERJEE LANE | Age | 43 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||