Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04830 | Date 14/08/2023 |
| Token No | SM/24-25/28141 12/09/2024 | Serial | 019 |
| Patient Name | Mr. SIYALAL SINGH | Contact No | 9748693351 |
| Address | 13/40 B B GHOSH ROAD SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 115/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||