Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01226 | Date 18/03/2020 |
| Token No | SM/25-26/6902 26/08/2025 | Serial | 005 |
| Patient Name | Mr. MUKTINATH SHARMA | Contact No | 9831164922 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||