Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09694 | Date 05/08/2025 |
| Token No | SM/25-26/5854 05/08/2025 | Serial | 020 |
| Patient Name | Mr. SURAJ KUMAR SETH | Contact No | 8276089143 |
| Address | B B GHOSH ROAD 712203 | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||