Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09242 | Date 07/05/2025 |
| Token No | SM/25-26/1725 08/05/2025 | Serial | 027 |
| Patient Name | Mr. PRABIR MALI | Contact No | 9163578190 |
| Address | 62/F G.T ROAD PAMPA NAGAR BAIDYABATI 712204 | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||