Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02805 | Date 28/09/2022 |
| Token No | SM/22-23/3109 28/09/2022 | Serial | 001 |
| Patient Name | Mr. ARUN BHUIYA | Contact No | |
| Address | PROVASHNAGAR SERAMPORE 712249 | Age | 33 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||