Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04938 | Date 24/08/2023 |
| Token No | SM/24-25/21972 16/05/2024 | Serial | 003 |
| Patient Name | Mr. BHAGAWANT THAKUR | Contact No | 8084014528 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||