Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07414 | Date 10/07/2024 |
| Token No | SM/24-25/24768 10/07/2024 | Serial | 002 |
| Patient Name | Mr. SOURAV BHATTACHARYA | Contact No | 9163484128 |
| Address | 27 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||