Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12493 | Date 23/12/2024 |
| Token No | SM/24-25/20364 23/12/2024 | Serial | 032 |
| Patient Name | Mr. KESHAB SARKAR | Contact No | NOT GIVEN |
| Address | SERAMPORE | Age | 72 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||