Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03178 | Date 18/11/2022 |
| Token No | SM/22-23/4514 18/11/2022 | Serial | 007 |
| Patient Name | Mr. SHAMBHU SHAW | Contact No | 9007763417 |
| Address | 34/B/23 B B GHOSH ROAD SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||