Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09917 | Date 09/09/2025 |
| Token No | SM/25-26/7681 09/09/2025 | Serial | 021 |
| Patient Name | Mr. SANI BHUIYA | Contact No | 8100564213 |
| Address | 43/27/A/4 PRAVASNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||