Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10213 | Date 22/11/2025 |
| Token No | SM/25-26/10959 24/11/2025 | Serial | 060 |
| Patient Name | Mr. SUBIR GUHA THAKURATA | Contact No | 9933885805 |
| Address | 1/A/ D CRUZE GAEDEN LANE SERAMPORE 712203 | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||