Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07225 | Date 28/06/2024 |
| Token No | SM/24-25/24096 01/07/2024 | Serial | 005 |
| Patient Name | Mr. SWAPAN KUMAR DEY | Contact No | 7278823526 |
| Address | 30/25 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||