Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01775 | Date 31/05/2022 |
| Token No | SM/25-26/3899 24/06/2025 | Serial | 007 |
| Patient Name | Mr. SUSHIL KUMAR NATH | Contact No | 8697156328 |
| Address | 143/33/B NABAGRAM GHOSHALPARA SERAMPORE HOOGHLY 712203 | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||