Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12826 | Date 24/03/2025 |
| Token No | SM/24-25/21460 24/03/2025 | Serial | 019 |
| Patient Name | Mr. TAPAN KUMAR HALDER | Contact No | 9088886561 |
| Address | 41/A/1 SASHIBHUSAN GHOSH LANE | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||