Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02479 | Date 17/08/2022 |
| Token No | SM/22-23/2210 22/08/2022 | Serial | 064 |
| Patient Name | Mr. BIJAY MAJUMDAR | Contact No | 8697110381 |
| Address | 65/25/37 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 49 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||