Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09488 | Date 21/06/2025 |
| Token No | SM/25-26/3904 24/06/2025 | Serial | 012 |
| Patient Name | Mrs. LAXMI PAL | Contact No | 9230283497 |
| Address | 2/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||