Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07834 | Date 05/09/2024 |
| Token No | SM/24-25/27798 06/09/2024 | Serial | 006 |
| Patient Name | Mr. AVIJIT CHAKRABORTY | Contact No | 6290009681 |
| Address | 43/17 PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||