Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07085 | Date 22/06/2024 |
| Token No | SM/24-25/23586 24/06/2024 | Serial | 010 |
| Patient Name | Mr. MONOJ ROY | Contact No | 8017531758 |
| Address | 123/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||