Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09062 | Date 07/04/2025 |
| Token No | SM/25-26/498 09/04/2025 | Serial | 083 |
| Patient Name | Mrs. PAPIYA PAL | Contact No | 9231710305 |
| Address | 18B TARAPUKUR 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 | |||