Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07276 | Date 17/10/2022 |
| Token No | SM/22-23/5563 17/10/2022 | Serial | 017 |
| Patient Name | Mr. SAYANJIT NATH | Contact No | 6290469485 |
| Address | SERAMPORE G.T.ROAD | Age | 20 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||