Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06862 | Date 27/05/2024 |
| Token No | SM/24-25/22349 27/05/2024 | Serial | 002 |
| Patient Name | Mr. SIBOPRASAD DAS | Contact No | |
| Address | SERAMPORE HOOGHLY 712249 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||