Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02726 | Date 19/09/2022 |
| Token No | SM/22-23/2936 22/09/2022 | Serial | 025 |
| Patient Name | Mr. INGU MAJUMDER | Contact No | 9051987755 |
| Address | 34B/5 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 48 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||