Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03744 | Date 13/02/2023 |
| Token No | SM/25-26/2586 26/05/2025 | Serial | 037 |
| Patient Name | Mr. SUJAN SINGH | Contact No | 9007866558 |
| Address | 70 NEW MAHESH SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||