Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02083 | Date 28/06/2022 |
| Token No | SM/22-23/1005 30/06/2022 | Serial | 019 |
| Patient Name | Mr. SABYASACHI BANIK | Contact No | 9163193266 |
| Address | 34/B/64/A B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||