Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02221 | Date 14/07/2022 |
| Token No | SM/25-26/10540 17/11/2025 | Serial | 015 |
| Patient Name | Mr. DURJODHAN KOLEY | Contact No | 7890941669 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 170/80 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||