Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00798 | Date 25/01/2020 |
| Token No | SM/22-23/2906 21/09/2022 | Serial | 026 |
| Patient Name | Mr. SUNIL CHANDRA MALAKAR | Contact No | 8697353380 |
| Address | 30/28 TARAPUKUR LANE SERAMPORE 712203 | Age | 85 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||