Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06382 | Date 06/03/2024 |
| Token No | SM/25-26/12506 30/12/2025 | Serial | 009 |
| Patient Name | Mr. MAHADEB SAH | Contact No | 9038569025 |
| Address | 228 NEW MAHESH SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/70 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||