Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09601 | Date 21/07/2025 |
| Token No | SM/25-26/5122 22/07/2025 | Serial | 010 |
| Patient Name | Mrs. SNIGDHA SAHA | Contact No | 8240581974 |
| Address | 155 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||