Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07036 | Date 19/06/2024 |
| Token No | SM/24-25/23389 20/06/2024 | Serial | 017 |
| Patient Name | Mr. SK ANSAR ALI | Contact No | 6290206619 |
| Address | 88/D MIYAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||