Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09278 | Date 14/05/2025 |
| Token No | SM/25-26/4316 03/07/2025 | Serial | 014 |
| Patient Name | Mr. SAGAR SAHA | Contact No | 9674261143 |
| Address | 35/F B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||