Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05297 | Date 29/09/2023 |
| Token No | SM/22-23/13792 30/09/2023 | Serial | 012 |
| Patient Name | Mr. JIT SINGH | Contact No | 7044158074 |
| Address | 10/Q HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||