Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06996 | Date 13/06/2024 |
| Token No | SM/24-25/23134 14/06/2024 | Serial | 005 |
| Patient Name | Mr. SHIBNATH GHOSH | Contact No | 9330166160 |
| Address | 99 KUMIR JALA ROAD SERAMPORE MALLICKPARA 712203 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||