Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10192 | Date 20/11/2025 |
| Token No | SM/25-26/10755 21/11/2025 | Serial | 001 |
| Patient Name | Mr. KRISHNA PANDEY | Contact No | 9163111282 |
| Address | 23/B/1 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||