Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08033 | Date 17/10/2024 |
| Token No | SM/24-25/29634 19/10/2024 | Serial | 011 |
| Patient Name | Mr. PARIMAL CHAKRABORTY | Contact No | 9674544037 |
| Address | 207 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||