Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01979 | Date 21/06/2022 |
| Token No | SM/25-26/6357 14/08/2025 | Serial | 016 |
| Patient Name | Mr. SEKH AYUB ALI | Contact No | 6291347489 |
| Address | 9 MALLICKPARA LANE SERAMPORE HOOGHLY 712203 | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||