Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08534 | Date 11/01/2025 |
| Token No | SM/24-25/34097 13/01/2025 | Serial | 028 |
| Patient Name | Mrs. PHOOL KUMARI SHARMA | Contact No | 6290761489 |
| Address | 6/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||