Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13896 | Date 29/12/2025 |
| Token No | SM/25-26/3102 29/12/2025 | Serial | 008 |
| Patient Name | Mr. PRADIP PRAMANIK | Contact No | 8017147022 |
| Address | 7/A KAILASH CHANDRA CHATTERJEE LANE | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||