Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06702 | Date 03/05/2024 |
| Token No | SM/24-25/22178 23/05/2024 | Serial | 002 |
| Patient Name | Mr. JAHAR RAY | Contact No | 9748604820 |
| Address | 105 NEW MAHESH SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||