Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02463 | Date 17/08/2022 |
| Token No | SM/22-23/2135 20/08/2022 | Serial | 006 |
| Patient Name | Mr. SATYAJIT GHOSH | Contact No | 6289640783 |
| Address | 163 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 44 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||