Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03702 | Date 02/02/2023 |
| Token No | SM/22-23/6528 03/02/2023 | Serial | 006 |
| Patient Name | Mr. SAHIL DAS | Contact No | 9073756614 |
| Address | 24/A GURUGARDEN ROAD SERAMPORE 712249 | Age | 16 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||