Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01850 | Date 08/06/2022 |
| Token No | SM/22-23/14303 12/10/2023 | Serial | 019 |
| Patient Name | Mr. ALAK DAS | Contact No | 9051391627 |
| Address | 38 PRABASHNAGAR SERAMPORE 712249 | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 90/60 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||