Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05975 | Date 30/12/2023 |
| Token No | SM/25-26/20692 29/08/2026 | Serial | 001 |
| Patient Name | Mr. SANAT DUTTA | Contact No | 7278172532 |
| Address | 65/7/13 DINEN BHATTACHARJEE SARANI 712249 | Age | 36 Years,0 Months,28 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||