Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07286 | Date 01/07/2024 |
| Token No | SM/24-25/27071 22/08/2024 | Serial | 075 |
| Patient Name | Mr. SK AKKAHAS | Contact No | 9748610594 |
| Address | 4NO CHILEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||