Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05562 | Date 02/11/2023 |
| Token No | SM/24-25/33793 07/01/2025 | Serial | 005 |
| Patient Name | Mr. NARESH SHAW | Contact No | 9831495920 |
| Address | 65/19/6 WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||