Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10021 | Date 07/10/2025 |
| Token No | SM/25-26/8710 07/10/2025 | Serial | 006 |
| Patient Name | Mr. ASIT HALDER | Contact No | 6291413588 |
| Address | NOGASHIBTALA SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||