Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01917 | Date 13/06/2022 |
| Token No | SM/22-23/2897 21/09/2022 | Serial | 017 |
| Patient Name | Mr. SUSANTA BHATTACHARJEE | Contact No | 7980699457 |
| Address | 24/A PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||