Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02821 | Date 29/09/2022 |
| Token No | SM/25-26/2205 19/05/2025 | Serial | 013 |
| Patient Name | Mr. MD RAMZAN | Contact No | 9681692562 |
| Address | 13 K M BHATTACHARYA STREET SERAMPORE 712201 | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/70 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||