Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07604 | Date 11/11/2022 |
| Token No | SM/22-23/6358 15/11/2022 | Serial | 045 |
| Patient Name | Mr. GOBINDA PAL | Contact No | 9903647637 |
| Address | 22B KAILASH CHATTERJEE LANE | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||