Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11694 | Date 25/06/2024 |
| Token No | SM/25-26/2608 13/11/2025 | Serial | 010 |
| Patient Name | Mr. LAXMI NARAYAN SAHA | Contact No | 8100014145 |
| Address | 7 CHATTERJEE LANE | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||