Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05768 | Date 01/12/2023 |
| Token No | SM/25-26/5844 05/08/2025 | Serial | 010 |
| Patient Name | Mr. SHYAMAL CHAKRABORTY | Contact No | 9007684208 |
| Address | 207 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||