Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04910 | Date 22/08/2023 |
| Token No | SM/25-26/5118 22/07/2025 | Serial | 006 |
| Patient Name | Mrs. SAGARIKA SAHA | Contact No | 9883081298 |
| Address | 25/A/7/2 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||