Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05405 | Date 09/02/2022 |
| Token No | SM/22-23/6097 07/11/2022 | Serial | 047 |
| Patient Name | Mr. DR. SAYANTAN GHATAK | Contact No | 8240008637 |
| Address | 74/B J.N. LAHIRI ROAD | Age | 33 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||