Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09226 | Date 06/05/2025 |
| Token No | SM/25-26/1731 08/05/2025 | Serial | 033 |
| Patient Name | Mr. HARAN CHANDRA SARKAR | Contact No | 8100402869 |
| Address | 89 PURBAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||