Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04860 | Date 18/08/2023 |
| Token No | SM/25-26/7586 08/09/2025 | Serial | 016 |
| Patient Name | Mr. SHAN MONDAL | Contact No | 8276089121 |
| Address | 43/32/B/2 PRABASHNAGAR SERAMPORE 712249 | Age | 9 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||