Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02052 | Date 27/06/2022 |
| Token No | SM/22-23/7830 27/03/2023 | Serial | 005 |
| Patient Name | Mr. SANKAR DAS | Contact No | 9123683430 |
| Address | 239 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||