Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09189 | Date 29/04/2025 |
| Token No | SM/25-26/1337 29/04/2025 | Serial | 016 |
| Patient Name | Mr. DEBESH MALLICK | Contact No | |
| Address | SERAMPORE | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||