Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08421 | Date 20/12/2024 |
| Token No | SM/24-25/33268 27/12/2024 | Serial | 001 |
| Patient Name | Mr. BALBIR DAS | Contact No | 9088523055 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||