Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04402 | Date 19/05/2021 |
| Token No | SM/22-23/7482 13/01/2023 | Serial | 006 |
| Patient Name | Mr. MAINAK CHATTERJEE | Contact No | 9780782779 |
| Address | NALIKUL | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||