Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06241 | Date 10/02/2024 |
| Token No | SM/24-25/37566 28/03/2025 | Serial | 012 |
| Patient Name | Mr. SAGNIK DUTTA | Contact No | 8100645175 |
| Address | 13/4 B B GHOSH ROAD SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||