Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09718 | Date 08/08/2025 |
| Token No | SM/25-26/6126 09/08/2025 | Serial | 026 |
| Patient Name | Mr. RANAJOY SAHA | Contact No | 9883343670 |
| Address | 144 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||