Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08929 | Date 02/05/2023 |
| Token No | SM/22-23/9378 03/05/2023 | Serial | 041 |
| Patient Name | Mr. TARUN DEY | Contact No | 9331072590 |
| Address | 21 PANDIT KALINATH BHATTACHARJEE STREET | Age | 60 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||