Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07466 | Date 01/11/2022 |
| Token No | SM/24-25/19799 20/11/2024 | Serial | 030 |
| Patient Name | Mr. DIBAKAR JHA | Contact No | 7044343698 |
| Address | 2A/8B ASHUTOSH CHATTERJEE LANE | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||