Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07731 | Date 18/11/2022 |
| Token No | SM/22-23/8901 12/04/2023 | Serial | 015 |
| Patient Name | Mr. DIBYENDU MUKHERJEE | Contact No | 9477268976 |
| Address | 3/A ANATH BANDHU MUKHERJEE LANE | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||