Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09287 | Date 14/05/2025 |
| Token No | SM/25-26/2028 14/05/2025 | Serial | 075 |
| Patient Name | Mr. SUCHANDRA PAL | Contact No | 9874485955 |
| Address | 33 NO GANGULY BAGAN MAHESH | Age | 11 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||