Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08662 | Date 05/02/2025 |
| Token No | SM/24-25/35231 06/02/2025 | Serial | 040 |
| Patient Name | Mr. SUSANTA DAS | Contact No | 9883491411 |
| Address | 10/G/1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||