Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04367 | Date 23/06/2023 |
| Token No | SM/22-23/15909 29/11/2023 | Serial | 001 |
| Patient Name | Mr. MAHESH DAS | Contact No | 9804420801 |
| Address | 75 NEW MAHESH SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||