Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05515 | Date 30/10/2023 |
| Token No | SM/22-23/14785 30/10/2023 | Serial | 006 |
| Patient Name | Mr. SUBEDAR SHOW | Contact No | 9331856382 |
| Address | 18 GT ROAD RISHRA SERAMPORE 712249 | Age | 69 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||