Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02122 | Date 04/07/2022 |
| Token No | SM/22-23/17918 30/01/2024 | Serial | 007 |
| Patient Name | Mr. SANTOSH RAJAK | Contact No | 8420963733 |
| Address | 194 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||