Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10281 | Date 09/12/2025 |
| Token No | SM/25-26/11717 09/12/2025 | Serial | 014 |
| Patient Name | Mr. SEKH ATIYAR RAHAMAN | Contact No | 6291456702 |
| Address | 89/A MALLICKPARA LANE SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||