Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08763 | Date 21/02/2025 |
| Token No | SM/24-25/35929 21/02/2025 | Serial | 005 |
| Patient Name | Mr. RUPAM DAS | Contact No | 9163834473 |
| Address | 2/234 MAHESH COLONY SERAMPORE 712202 | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||