Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05083 | Date 08/09/2023 |
| Token No | SM/22-23/12818 08/09/2023 | Serial | 007 |
| Patient Name | Mr. JOY DOLUI | Contact No | 9088609722 |
| Address | 38/B B B GHOSH ROAD SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||