Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11673 | Date 19/06/2024 |
| Token No | SM/24-25/17038 20/06/2024 | Serial | 040 |
| Patient Name | Mr. RANJAN CHOWDHURY | Contact No | 9051383916 |
| Address | 4 ANANTH BANDHU MUKHERJEE LANE | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||