Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09353 | Date 28/05/2025 |
| Token No | SM/25-26/2787 30/05/2025 | Serial | 004 |
| Patient Name | Mrs. SUPRIYA KUMARI | Contact No | 7482842567 |
| Address | 62/A/9 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||