Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09380 | Date 02/06/2025 |
| Token No | SM/25-26/2955 03/06/2025 | Serial | 009 |
| Patient Name | Mrs. SHYAMALI ROUTH | Contact No | 9870883626 |
| Address | 60/A 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||