Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07314 | Date 18/10/2022 |
| Token No | SM/24-25/20363 23/12/2024 | Serial | 031 |
| Patient Name | Mr. JOYDEB CHATTERJEE | Contact No | 9681776826 |
| Address | 56A KHASBAGAN LANE | Age | 75 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||