Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05960 | Date 28/12/2023 |
| Token No | SM/24-25/28898 28/09/2024 | Serial | 055 |
| Patient Name | Mr. DURJO DAS | Contact No | 9088704924 |
| Address | 11A D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||