Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 09306 | Date 17/05/2025 |
| Token No | SM/25-26/12138 19/12/2025 | Serial | 002 |
| Patient Name | Mr. SWAPAN BISWAS | Contact No | 7044497199 |
| Address | 2 NO RAI LAND ROAD SERAMPORE 712202 | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||