Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08189 | Date 12/11/2024 |
| Token No | SM/25-26/320 07/04/2025 | Serial | 029 |
| Patient Name | Mr. SUBHANKAR BISWAS | Contact No | 7044147625 |
| Address | 2/A TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||