Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05983 | Date 31/05/2022 |
| Token No | SM/22-23/8997 21/04/2023 | Serial | 017 |
| Patient Name | Mr. J.B. BANERJEE | Contact No | 9681527868 |
| Address | CHATTERJEE LANE | Age | 69 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||