Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09879 | Date 03/09/2025 |
| Token No | SM/25-26/7435 04/09/2025 | Serial | 007 |
| Patient Name | Mr. SANJAY TARAFDAR | Contact No | 7686828620 |
| Address | 65/25/25/A PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||