Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00921 | Date 10/02/2020 |
| Token No | SM/22-23/20227 28/03/2024 | Serial | 005 |
| Patient Name | Mr. SK RAMJAN | Contact No | 8420312080 |
| Address | 7 TARAPUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||