Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07496 | Date 03/11/2022 |
| Token No | SM/22-23/6094 07/11/2022 | Serial | 044 |
| Patient Name | Mr. SOURADIP BANERJEE | Contact No | 9051245593 |
| Address | 5B PITAMBAR DEY LANE | Age | 22 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||