Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02130 | Date 04/07/2022 |
| Token No | SM/22-23/1102 05/07/2022 | Serial | 007 |
| Patient Name | Mr. SUDHIR CHANDRA SAHA | Contact No | 9038934478 |
| Address | 54 MALLICKPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 70 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||