Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07136 | Date 26/09/2022 |
| Token No | SM/22-23/6612 24/11/2022 | Serial | 026 |
| Patient Name | Mr. ASGAR MALLICK | Contact No | 8961801825 |
| Address | 49a dr, n l bhattacharjee street | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||