Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08851 | Date 08/03/2025 |
| Token No | SM/24-25/36684 10/03/2025 | Serial | 016 |
| Patient Name | Mr. SUBIR KUMAR SAHA | Contact No | 6291993085 |
| Address | 3/41 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||