Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01917 | Date 13/06/2022 |
| Token No | SM/25-26/4654 14/07/2025 | Serial | 014 |
| Patient Name | Mr. SUSANTA BHATTACHARJEE | Contact No | 7980699457 |
| Address | 24/A PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||