Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05010 | Date 31/08/2023 |
| Token No | SM/22-23/12578 01/09/2023 | Serial | 021 |
| Patient Name | Mr. BISWANATH SAHA | Contact No | 9163488248 |
| Address | 45 UTBASTU UPANIBESH SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||