Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02528 | Date 22/08/2022 |
| Token No | SM/22-23/14533 17/10/2023 | Serial | 076 |
| Patient Name | Mr. ROHIT BISWAS | Contact No | |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 74 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||