Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02972 | Date 22/10/2022 |
| Token No | SM/22-23/3727 22/10/2022 | Serial | 006 |
| Patient Name | Mr. RAKHAL SARKAR | Contact No | 9681466896 |
| Address | 8/A/2/14/A D N BHATTACHARJEE SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 57 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||