Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05809 | Date 08/12/2023 |
| Token No | SM/25-26/852 19/04/2025 | Serial | 020 |
| Patient Name | Mr. NILOY MAJUMDER | Contact No | 8647873485 |
| Address | 39/A/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||