Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05879 | Date 15/12/2023 |
| Token No | SM/25-26/2480 23/05/2025 | Serial | 011 |
| Patient Name | Mr. PREMANSHU ROY | Contact No | 9800926263 |
| Address | NANDAPUR PURBA MEDINIPUR 721625 | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||