Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08980 | Date 27/03/2025 |
| Token No | SM/25-26/4199 01/07/2025 | Serial | 014 |
| Patient Name | Mrs. PRIYANKA CHAKRABORTY | Contact No | 8961452845 |
| Address | B/101/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||