Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06948 | Date 06/06/2024 |
| Token No | SM/24-25/22810 06/06/2024 | Serial | 050 |
| Patient Name | Mr. SALIL CHAKRABORTY | Contact No | 9830516966 |
| Address | 19 B.L.C.MILLS BUY LANE MAHESH SERAMPORE | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||