Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08438 | Date 23/12/2024 |
| Token No | SM/24-25/33165 24/12/2024 | Serial | 002 |
| Patient Name | Mr. PRADIP SINHA | Contact No | 9143385553 |
| Address | 39/A/3 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||