Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09343 | Date 26/05/2025 |
| Token No | SM/25-26/2630 27/05/2025 | Serial | 012 |
| Patient Name | Mr. RITWIK RAM | Contact No | 7667617809 |
| Address | 51 NEW MAHESH SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||