Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11876 | Date 31/07/2024 |
| Token No | SM/25-26/2880 04/12/2025 | Serial | 015 |
| Patient Name | Mr. SANTI RAM CHATTOPADHYAY | Contact No | 9830213656 |
| Address | 10 ANNADABABU GARDEN LANE | Age | 80 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||