Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00107 | Date 13/09/2019 |
| Token No | SM/24-25/28646 23/09/2024 | Serial | 053 |
| Patient Name | Mr. JOYDEV DAS | Contact No | 8276940809 |
| Address | 34 RAY M C LAHIRI BAHADUR STREET SERAMPORE 712204 | Age | 76 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||