Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08728 | Date 10/04/2023 |
| Token No | SM/22-23/8882 11/04/2023 | Serial | 048 |
| Patient Name | Mr. ARUN KUMAR CHATTERJEE | Contact No | 7059271977 |
| Address | 16 PANCHANAN TALA LANE | Age | 77 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||