Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01942 | Date 17/06/2022 |
| Token No | SM/25-26/4514 10/07/2025 | Serial | 009 |
| Patient Name | Mr. UMESH PRASAD | Contact No | 9163177892 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||