Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05065 | Date 05/09/2023 |
| Token No | SM/22-23/12747 05/09/2023 | Serial | 020 |
| Patient Name | Mr. DEBASIS GUPTA... | Contact No | 9851672875 |
| Address | 58/B RR ROY SARANI SERAMPORE | Age | 33 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||