Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09327 | Date 21/05/2025 |
| Token No | SM/25-26/5323 25/07/2025 | Serial | 005 |
| Patient Name | Mr. ASHIM LOUHA | Contact No | 9088522104 |
| Address | 43/32/B/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||