Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07981 | Date 04/10/2024 |
| Token No | SM/24-25/29130 05/10/2024 | Serial | 014 |
| Patient Name | Mr. KANHAIYA KUMAR THAKUR | Contact No | 8918335392 |
| Address | 10/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||