Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09606 | Date 22/07/2025 |
| Token No | SM/25-26/5124 22/07/2025 | Serial | 012 |
| Patient Name | Mrs. DEBJANI DAS | Contact No | 7595937317 |
| Address | 3/68/D F D ROAD MALIKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||