Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07995 | Date 07/10/2024 |
| Token No | SM/24-25/29296 08/10/2024 | Serial | 012 |
| Patient Name | Mr. SOUMYA CHAKRABORTY | Contact No | 7439731428 |
| Address | 43/12 PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||