Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09828 | Date 02/08/2023 |
| Token No | SM/22-23/11422 04/08/2023 | Serial | 050 |
| Patient Name | Mr. SANDIP MUKHERJEE | Contact No | 6291598125 |
| Address | BHATPARA, KAKINARA | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||