Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09706 | Date 06/08/2025 |
| Token No | SM/25-26/5952 06/08/2025 | Serial | 070 |
| Patient Name | Mr. MURARI MOHAN MAKHAL | Contact No | 8777481679 |
| Address | 21 JN LAHIRI ROAD SERAMPORE | Age | 82 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||