Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03247 | Date 25/11/2022 |
| Token No | SM/22-23/4805 28/11/2022 | Serial | 020 |
| Patient Name | Mr. ABHIDEEP BANERJEE | Contact No | 9163518823 |
| Address | 34-B/30/A B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 30 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||