Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12831 | Date 27/03/2025 |
| Token No | SM/24-25/21478 27/03/2025 | Serial | 009 |
| Patient Name | Mr. SANTU MAJHI | Contact No | 9163317381 |
| Address | MAHESH,SERAMPORE | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||