Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06870 | Date 28/05/2024 |
| Token No | SM/24-25/22432 29/05/2024 | Serial | 015 |
| Patient Name | Mr. SUBAL DEY | Contact No | 9433278155 |
| Address | 8/B/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||