Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13087 | Date 09/06/2025 |
| Token No | SM/25-26/731 09/06/2025 | Serial | 047 |
| Patient Name | Mr. MALOY DAS | Contact No | 9674910072 |
| Address | GOSWAMI STREET, SERAMPORE | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||