Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00953 | Date 14/02/2020 |
| Token No | SM/24-25/28056 11/09/2024 | Serial | 012 |
| Patient Name | Mr. DIPAK SAHA | Contact No | 9051487998 |
| Address | 30/71 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/76 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||