Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08718 | Date 12/02/2025 |
| Token No | SM/24-25/35577 12/02/2025 | Serial | 009 |
| Patient Name | Mr. TARAK KUNDU | Contact No | 7319119967 |
| Address | 27 DHULIPARA LANE 712201 | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||