Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04509 | Date 14/07/2023 |
| Token No | SM/22-23/10558 15/07/2023 | Serial | 005 |
| Patient Name | Mr. KRISHNA SAHA | Contact No | 6289959148 |
| Address | 150/B 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||