Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06218 | Date 08/02/2024 |
| Token No | SM/22-23/18440 10/02/2024 | Serial | 001 |
| Patient Name | Mr. SUBRATA MALAKAR | Contact No | 9748767052 |
| Address | 243 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||