Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12418 | Date 03/12/2024 |
| Token No | SM/24-25/20043 04/12/2024 | Serial | 009 |
| Patient Name | Mr. TAPAS KUMAR MUKHERJEE.. | Contact No | 6290603801 |
| Address | 16A BHAGIRATHI LANE | Age | 74 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||