Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01914 | Date 13/06/2022 |
| Token No | SM/22-23/3343 11/10/2022 | Serial | 012 |
| Patient Name | Mr. KHOKAN BISWAS | Contact No | 9051534123 |
| Address | 72/A3 PURBAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 23 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||