Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06880 | Date 29/05/2024 |
| Token No | SM/24-25/22426 29/05/2024 | Serial | 009 |
| Patient Name | Mr. RAJESH ROY | Contact No | 9748040739 |
| Address | 24/G/B F.D ROAD SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||