Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06194 | Date 06/02/2024 |
| Token No | SM/22-23/18233 06/02/2024 | Serial | 012 |
| Patient Name | Mr. INDRANIL POREL | Contact No | 9038707886 |
| Address | 40 DEY BAGAN LANE | Age | 31 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||