Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04987 | Date 28/08/2023 |
| Token No | SM/22-23/12454 28/08/2023 | Serial | 056 |
| Patient Name | Mr. PINTU NAG | Contact No | 9903187924 |
| Address | 24 ER PALLY SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||