Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05204 | Date 21/09/2023 |
| Token No | SM/22-23/13373 21/09/2023 | Serial | 057 |
| Patient Name | Mr. SUJIT MONDAL | Contact No | 8240664086 |
| Address | 43/32/B PROVASNAGAR SERAMPORE 712249 | Age | 27 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||