Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06206 | Date 08/02/2024 |
| Token No | SM/22-23/18379 09/02/2024 | Serial | 010 |
| Patient Name | Mr. BARUN CHOWDHURY | Contact No | 9836232237 |
| Address | 36/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||