Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08609 | Date 27/01/2025 |
| Token No | SM/24-25/34790 29/01/2025 | Serial | 019 |
| Patient Name | Mrs. SEEMA DEVI | Contact No | 9717524423 |
| Address | D-136/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||