Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04656 | Date 31/07/2023 |
| Token No | SM/22-23/11117 31/07/2023 | Serial | 014 |
| Patient Name | Mr. ARNAB DAS | Contact No | 9804174690 |
| Address | 1/A DHARMATALA BYE LANE CHATRA SERAMPORE | Age | 26 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||