Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12596 | Date 30/01/2025 |
| Token No | SM/25-26/2419 29/10/2025 | Serial | 008 |
| Patient Name | Mr. SAILENDRANATH MITRA | Contact No | 6299580415 |
| Address | 3 BECHU DEY LANE | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||