Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10535 | Date 26/09/2023 |
| Token No | SM/22-23/12756 27/09/2023 | Serial | 026 |
| Patient Name | Mr. SK. ISRAIL | Contact No | 8013650900 |
| Address | 19A A.K.C BHATTACHARYA ST | Age | 53 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||