Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00823 | Date 28/01/2020 |
| Token No | SM/22-23/2136 20/08/2022 | Serial | 007 |
| Patient Name | Mr. SAMIR SENGUPTA | Contact No | 7450876704 |
| Address | C/129/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||