Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06162 | Date 03/02/2024 |
| Token No | SM/25-26/9227 16/10/2025 | Serial | 027 |
| Patient Name | Mr. TARAK MAJHI | Contact No | 9062764589 |
| Address | 43/18/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 190/100 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||