Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10394 | Date 14/09/2023 |
| Token No | SM/25-26/914 19/06/2025 | Serial | 021 |
| Patient Name | Mr. SHUBHAPRAKASH CHATTERJEE | Contact No | 9477125045 |
| Address | 12B BHAGIRATHI LANE | Age | 67 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||