Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06074 | Date 18/01/2024 |
| Token No | SM/22-23/17580 18/01/2024 | Serial | 016 |
| Patient Name | Mr. HARADHAN CHAKRABORTY | Contact No | |
| Address | PROVASNAGAR PURBAPARA SERAMPORE 712249 | Age | 70 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||