Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08158 | Date 05/11/2024 |
| Token No | SM/24-25/30672 06/11/2024 | Serial | 009 |
| Patient Name | Mr. MITHILESH RAY | Contact No | 6289944060 |
| Address | 10/B JJOGINDAR RAY HARIPARA LANE SERAMPORE 712203 | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||