Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00910 | Date 08/02/2020 |
| Token No | SM/19-20/2504 24/02/2020 | Serial | 009 |
| Patient Name | Mr. SUNIL SARKAR | Contact No | |
| Address | 30/27 TARAPUKUR LANE SERAMPORE 712203 | Age | 70 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||