Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08068 | Date 21/10/2024 |
| Token No | SM/24-25/29837 22/10/2024 | Serial | 010 |
| Patient Name | Mr. DHARMENDRA DAS | Contact No | 7980585050 |
| Address | 112 NEW MAHESH SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||