Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10094 | Date 24/10/2025 |
| Token No | SM/25-26/9536 25/10/2025 | Serial | 002 |
| Patient Name | Mr. MANICK NANDI | Contact No | 7044340226 |
| Address | D/150/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||