Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02247 | Date 18/07/2022 |
| Token No | SM/22-23/1461 19/07/2022 | Serial | 014 |
| Patient Name | Mr. BAPPA DUTTA | Contact No | 9143080402 |
| Address | 10 DULAY PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||