Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04655 | Date 31/07/2023 |
| Token No | SM/22-23/11169 01/08/2023 | Serial | 010 |
| Patient Name | Mr. ANIKET RASUWA | Contact No | 9831331639 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||