Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09845 | Date 30/08/2025 |
| Token No | SM/25-26/7670 09/09/2025 | Serial | 010 |
| Patient Name | Mr. SANKAR DEY | Contact No | 9836260691 |
| Address | 4/A/2/B TARAPUKUR COLONY SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 93/66 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||