Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03901 | Date 10/03/2023 |
| Token No | SM/24-25/34525 22/01/2025 | Serial | 003 |
| Patient Name | Mrs. ARCHANA BHATTACHARJEE | Contact No | 8013379317 |
| Address | 50 GT ROAD MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||