Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04778 | Date 10/08/2023 |
| Token No | SM/22-23/11630 10/08/2023 | Serial | 020 |
| Patient Name | Mr. MAHADEB GHOSH | Contact No | 4028604423 |
| Address | 4/A CHATRA DHARMOTALA BYE LANE , SERAMPORE | Age | 75 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||