Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09872 | Date 02/09/2025 |
| Token No | SM/25-26/10210 10/11/2025 | Serial | 024 |
| Patient Name | Mrs. TANUSHREE CHAKRABORTY | Contact No | 8902649942 |
| Address | 212/A 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||