Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07949 | Date 26/09/2024 |
| Token No | SM/24-25/28803 27/09/2024 | Serial | 002 |
| Patient Name | Mr. SWAPAN BAG | Contact No | 8013125980 |
| Address | 3/A GURU GARDEN ROAD SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||