Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06363 | Date 18/07/2022 |
| Token No | SM/22-23/5356 28/09/2022 | Serial | 001 |
| Patient Name | Mr. AAHIL MONDAL | Contact No | NOT GIVEN |
| Address | DET ST, SERAMPORE | Age | 7 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||