Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03328 | Date 06/12/2022 |
| Token No | SM/22-23/5089 08/12/2022 | Serial | 015 |
| Patient Name | Mr. MUNNA KUMAR RAY | Contact No | 8250440832 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 30 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||