Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09323 | Date 20/05/2025 |
| Token No | SM/25-26/2290 20/05/2025 | Serial | 016 |
| Patient Name | Mr. SOURAV DUTTA | Contact No | 8296394300 |
| Address | 57/65 S.P MUKHERJEE SARANI RAILAND ROAD 712201 | Age | 31 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||