Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09250 | Date 05/06/2023 |
| Token No | SM/24-25/16998 19/06/2024 | Serial | 052 |
| Patient Name | Mr. ASHOK KUMAR CHATTERJEE | Contact No | 7449894738 |
| Address | 77 J.N. LAHIRI ROAD | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||