Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10253 | Date 01/12/2025 |
| Token No | SM/25-26/12064 17/12/2025 | Serial | 011 |
| Patient Name | Mr. SANJIB KUMAR LAHA | Contact No | 7980187673 |
| Address | 12 NO BABURAM GHOSH LANE KOLKATA 70005 | Age | 44 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||