Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08985 | Date 28/03/2025 |
| Token No | SM/24-25/37567 28/03/2025 | Serial | 013 |
| Patient Name | Mr. MAHESWAR SARDAR | Contact No | 6291158499 |
| Address | SIMLA MALLIKPARA SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||