Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02821 | Date 29/09/2022 |
| Token No | SM/25-26/6767 25/08/2025 | Serial | 001 |
| Patient Name | Mr. MD RAMZAN | Contact No | 9681692562 |
| Address | 13 K M BHATTACHARYA STREET SERAMPORE 712201 | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||