Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07808 | Date 25/11/2022 |
| Token No | SM/22-23/6687 29/11/2022 | Serial | 002 |
| Patient Name | Mr. SUNIL CHATTERJEE,, | Contact No | 9903197049 |
| Address | 41 DOSTI LANE | Age | 70 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||