Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06066 | Date 17/01/2024 |
| Token No | SM/22-23/17525 17/01/2024 | Serial | 010 |
| Patient Name | Mr. SOUMITRA SAHA | Contact No | 9062917711 |
| Address | 1/A/1 B.B GHOSH ROAD SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||