Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02301 | Date 25/07/2022 |
| Token No | SM/24-25/21129 25/04/2024 | Serial | 004 |
| Patient Name | Mr. GENA LAL SHAW | Contact No | 9831495920 |
| Address | 65/19/6 PROVASNAGAR SERAMPORE 712249 | Age | 73 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||