Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05339 | Date 05/10/2023 |
| Token No | SM/25-26/2836 31/05/2025 | Serial | 005 |
| Patient Name | Mr. TAPAN ROY | Contact No | 9330149150 |
| Address | 190 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 70 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||