Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11886 | Date 02/08/2024 |
| Token No | SM/25-26/85 07/04/2025 | Serial | 029 |
| Patient Name | Mr. PARTHA PRATIM SUR | Contact No | 9062602250 |
| Address | 1/1 CHATTERJEE PARA LANE | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||