Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08438 | Date 23/12/2024 |
| Token No | SM/25-26/10390 14/11/2025 | Serial | 002 |
| Patient Name | Mr. PRADIP SINHA | Contact No | 9143385553 |
| Address | 39/A/3 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 169 cm |
| Diagnosis | |||