Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04821 | Date 14/08/2023 |
| Token No | SM/22-23/14868 31/10/2023 | Serial | 004 |
| Patient Name | Mr. BADAL KAR | Contact No | 9330636019 |
| Address | 48/F PRAVASHNAGAR SERAMPORE 712249 | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||