Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07969 | Date 30/09/2024 |
| Token No | SM/25-26/9235 16/10/2025 | Serial | 035 |
| Patient Name | Mr. NARESH SARKAR | Contact No | 9051604391 |
| Address | 37 PRAVASHNAGAR SERAMPORE 712249 | Age | 72 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||