Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05948 | Date 27/12/2023 |
| Token No | SM/22-23/17017 29/12/2023 | Serial | 005 |
| Patient Name | Mr. SK SAFIRUDDIN | Contact No | 6290786342 |
| Address | 88/C MALLICKPARA LANE SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||