Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05143 | Date 14/09/2023 |
| Token No | SM/22-23/13139 15/09/2023 | Serial | 016 |
| Patient Name | Mr. OUSHIK ROUTH | Contact No | 9674783812 |
| Address | 60/1 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||