Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05559 | Date 02/11/2023 |
| Token No | SM/25-26/5330 25/07/2025 | Serial | 012 |
| Patient Name | Mr. SUMIT KUMAR NAYAK | Contact No | 6291670953 |
| Address | 97/F/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||