Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03170 | Date 17/11/2022 |
| Token No | SM/22-23/17613 19/01/2024 | Serial | 001 |
| Patient Name | Mr. SANJAY KUMAR JHA | Contact No | 9874712068 |
| Address | 9A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 87 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||