Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05967 | Date 29/12/2023 |
| Token No | SM/22-23/17019 29/12/2023 | Serial | 007 |
| Patient Name | Mr. DEBARGHA BHAR | Contact No | 7980187673 |
| Address | 15 GOBINDA CHANDRA BHATTACHARA LANE SERAMPORE 712201 | Age | 11 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||