Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10019 | Date 04/10/2025 |
| Token No | SM/25-26/8704 04/10/2025 | Serial | 002 |
| Patient Name | Master ANTORIK PAL | Contact No | 7980051915 |
| Address | 65/25/24 JANNAGAR ROAD PRAVASNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||