Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10590 | Date 28/02/2026 |
| Token No | SM/25-26/15459 02/03/2026 | Serial | 035 |
| Patient Name | Mrs. SHANTIMOYEE DUTTA | Contact No | 9874790629 |
| Address | 30 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 76 Years,2 Months,29 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||