Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04525 | Date 18/07/2023 |
| Token No | SM/25-26/2472 23/05/2025 | Serial | 003 |
| Patient Name | Mr. TAPAN DASGUPTA | Contact No | 9874726933 |
| Address | 34/B/1/B B B GHOSH ROAD SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||