Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08762 | Date 21/02/2025 |
| Token No | SM/24-25/35928 21/02/2025 | Serial | 004 |
| Patient Name | Mr. ADITYA KUMAR PARAMANIK | Contact No | 7595815623 |
| Address | 45/F/2 KHATIR BAZAR LANE SERAMPORE 712201 | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||