Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09847 | Date 03/08/2023 |
| Token No | SM/22-23/13018 11/10/2023 | Serial | 016 |
| Patient Name | Mr. BASUDEB KUNDU | Contact No | 9051850162 |
| Address | 24A KHAS BAGAN | Age | 72 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||