Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08835 | Date 06/03/2025 |
| Token No | SM/24-25/36490 06/03/2025 | Serial | 096 |
| Patient Name | Mr. SANTANU DAS | Contact No | |
| Address | CHAKLAPARA SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||