Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01734 | Date 28/05/2022 |
| Token No | SM/25-26/7666 09/09/2025 | Serial | 006 |
| Patient Name | Mr. SWAPAN KUMAR DAWAN | Contact No | 9432385474 |
| Address | 352/66/1/E/C R K ROAD BAIDYABATI M 712204 | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||