Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05234 | Date 25/09/2023 |
| Token No | SM/22-23/13780 29/09/2023 | Serial | 077 |
| Patient Name | Mr. RAJA DAS .. | Contact No | 9331068976 |
| Address | 95/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||