Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12555 | Date 22/01/2025 |
| Token No | SM/24-25/20730 27/01/2025 | Serial | 028 |
| Patient Name | Mr. UJJAL CHAKRABORTY | Contact No | 9831941508 |
| Address | 30 T C GOSWAMI STREET | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||