Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02499 | Date 22/08/2022 |
| Token No | SM/25-26/7203 01/09/2025 | Serial | 021 |
| Patient Name | Mr. MD AKTAR | Contact No | 8274883845 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/90 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||