Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01297 | Date 27/03/2020 |
| Token No | SM/22-23/4103 07/11/2022 | Serial | 002 |
| Patient Name | Mr. BISWANATH SADHUKHAN | Contact No | 7439416654 |
| Address | 41 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||