Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02060 | Date 27/06/2022 |
| Token No | SM/22-23/2669 12/09/2022 | Serial | 022 |
| Patient Name | Mr. SHANWAZ MONDAL | Contact No | 7044879699 |
| Address | 9 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 66 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||