Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10148 | Date 07/11/2025 |
| Token No | SM/25-26/10183 08/11/2025 | Serial | 078 |
| Patient Name | Mr. BISWAJIT DEBNATH | Contact No | 6289931424 |
| Address | 3/49 MAHESH COLONY SERAMPORE 712201 | Age | 44 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||