Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06083 | Date 19/01/2024 |
| Token No | SM/22-23/17651 20/01/2024 | Serial | 002 |
| Patient Name | Mr. UPENDRA SINGH | Contact No | 7439377096 |
| Address | 13 B B GHOSH ROAD SARADA PALLY SERAMPORE 712203 | Age | 69 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||