Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06399 | Date 09/03/2024 |
| Token No | SM/22-23/19803 13/03/2024 | Serial | 058 |
| Patient Name | Mr. TUSHAR DAS | Contact No | 7890494106 |
| Address | 65/7/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||