Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05462 | Date 17/10/2023 |
| Token No | SM/24-25/22764 06/06/2024 | Serial | 004 |
| Patient Name | Mr. SUBRATA SANYAL | Contact No | 7439738322 |
| Address | 1/338 MAHESH COLONY SERAMPORE 712202 | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||