Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08875 | Date 11/03/2025 |
| Token No | SM/25-26/11719 09/12/2025 | Serial | 016 |
| Patient Name | Mr. NARAYAN SARKAR | Contact No | 8583920534 |
| Address | 30/76 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||