Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12364 | Date 21/11/2024 |
| Token No | SM/24-25/19903 25/11/2024 | Serial | 049 |
| Patient Name | Mr. GOUTAM GHOSH | Contact No | 9804062448 |
| Address | DIARA | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||