Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13659 | Date 25/10/2025 |
| Token No | SM/25-26/2417 29/10/2025 | Serial | 006 |
| Patient Name | Mr. JAYANTA CHATTERJEE. | Contact No | 7461056226 |
| Address | 10 CHATTERJEE LANE | Age | 44 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||