Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01834 | Date 08/06/2022 |
| Token No | SM/22-23/4177 09/11/2022 | Serial | 012 |
| Patient Name | Mr. SATYAJIT MAZUMDER | Contact No | 9477034120 |
| Address | B/93/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 54 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||