Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 09283 | Date 14/05/2025 |
| Token No | SM/25-26/2020 14/05/2025 | Serial | 067 |
| Patient Name | Mr. SOUVIK SAMANTA | Contact No | 9830592595 |
| Address | 48 NO B.P 2ND LANE SERAMPORE 712202 | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||