Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09896 | Date 06/09/2025 |
| Token No | SM/25-26/7559 06/09/2025 | Serial | 022 |
| Patient Name | Mr. DEBASIS NATH | Contact No | 8777593530 |
| Address | JOGIPARA KALNA BARDHAMAN 713409 | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||