Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09862 | Date 01/09/2025 |
| Token No | SM/25-26/7356 03/09/2025 | Serial | 012 |
| Patient Name | Mr. SUBHARUP DEBNATH | Contact No | 7449345642 |
| Address | 84/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||