Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04863 | Date 01/09/2021 |
| Token No | SM/21-22/1055 02/09/2021 | Serial | 001 |
| Patient Name | Mr. SATYAJIT MAZUMDER | Contact No | 9477034120 |
| Address | B/93/Y TARAPUKUR GOVT QTR | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||