Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10263 | Date 03/12/2025 |
| Token No | SM/25-26/11392 03/12/2025 | Serial | 024 |
| Patient Name | Mr. SOURAV DUTTA ROY | Contact No | 6289258881 |
| Address | 39/F BOSEPARA LANE SERAMPORE 712202 | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||