Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06907 | Date 31/05/2024 |
| Token No | SM/24-25/22583 01/06/2024 | Serial | 004 |
| Patient Name | Mr. AMAR BANERJEE | Contact No | 7595883639 |
| Address | 95/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | 101 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||