Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10589 | Date 28/02/2026 |
| Token No | SM/25-26/15462 02/03/2026 | Serial | 038 |
| Patient Name | Miss KEYA DEBNATH | Contact No | 7890074634 |
| Address | 10/Q HARIPARA LANE SERAMPORE 712203 | Age | 18 Years,11 Months,20 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||