Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08491 | Date 31/12/2024 |
| Token No | SM/24-25/33538 02/01/2025 | Serial | 001 |
| Patient Name | Mr. SK NANTU | Contact No | 8697112420 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||