Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06410 | Date 12/03/2024 |
| Token No | SM/22-23/19748 13/03/2024 | Serial | 003 |
| Patient Name | Mr. KRISHNA CHANDRA DAS | Contact No | 7044744191 |
| Address | 30/8 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||