Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01484 | Date 25/04/2020 |
| Token No | SM/22-23/2813 17/09/2022 | Serial | 001 |
| Patient Name | Mr. ASISH RANJAN CHAKRABORTY | Contact No | 9051158055 |
| Address | C/118/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||