Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 08657 | Date 04/02/2025 |
| Token No | SM/24-25/35061 04/02/2025 | Serial | 002 |
| Patient Name | Mr. BADAL DEY | Contact No | 7439192112 |
| Address | MAHESH SERAMPORE 712201 | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||