Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08503 | Date 04/01/2025 |
| Token No | SM/24-25/33852 08/01/2025 | Serial | 003 |
| Patient Name | Mr. JAYNARAYAN DAS | Contact No | 9231900637 |
| Address | 64 MALLICKPARA LANE SERAMPORE 712203 | Age | 80 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||