Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10898 | Date 07/12/2023 |
| Token No | SM/25-26/1355 23/07/2025 | Serial | 028 |
| Patient Name | Mr. KAMAL KUMAR DE | Contact No | 9339961617 |
| Address | BAT TALA | Age | 76 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||