Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07100 | Date 24/06/2024 |
| Token No | SM/25-26/12059 17/12/2025 | Serial | 006 |
| Patient Name | Mr. TAPAS KUMAR GHOSH | Contact No | 8585876288 |
| Address | 62/28 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/70 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||