Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05360 | Date 07/10/2023 |
| Token No | SM/22-23/17356 10/01/2024 | Serial | 001 |
| Patient Name | Mr. SOURAV PARASRAMPURIA | Contact No | 7003265049 |
| Address | 1F D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||