Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03993 | Date 28/03/2023 |
| Token No | SM/25-26/2475 23/05/2025 | Serial | 006 |
| Patient Name | Mr. SUBHAM PRASAD | Contact No | 9088443245 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||