Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16262 | Date 11/11/2025 |
| Token No | SM/25-26/7850 11/11/2025 | Serial | 004 Last Visit: 11/11/2025 |
| Patient Name | Mr. TAPAN MAJHI | Contact No | |
| Address | SERAMPORE | Age | 65 Years,0 Months,9 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||