Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06320 | Date 20/02/2024 |
| Token No | SM/22-23/18851 21/02/2024 | Serial | 001 |
| Patient Name | Mr. SK BABAR ALI | Contact No | 7439790271 |
| Address | 82 MALLICKPARA LANE SERAMPORE 712203 | Age | 90 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||