Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04880 | Date 19/08/2023 |
| Token No | SM/22-23/12119 21/08/2023 | Serial | 055 |
| Patient Name | Mr. SANDIP DEY | Contact No | 9681687694 |
| Address | 35 B B GHOSH ROAD SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||