Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10559 | Date 28/09/2023 |
| Token No | SM/25-26/1838 01/09/2025 | Serial | 038 |
| Patient Name | Mr. ANANDA SEN | Contact No | 9007674217 |
| Address | CHOTOBELU SERAMPORE | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||