Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01274 | Date 24/03/2020 |
| Token No | SM/25-26/6148 11/08/2025 | Serial | 013 |
| Patient Name | Mr. NIKHIL KUMAR AICH | Contact No | 9874372697 |
| Address | 65/23 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||