Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09285 | Date 14/05/2025 |
| Token No | SM/25-26/2023 14/05/2025 | Serial | 070 |
| Patient Name | Mrs. PUTUL CHOWDHURY | Contact No | 8697253812 |
| Address | 16 NO SITAL SARKAR LANE SERAMPORE 712202 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||