Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08683 | Date 06/02/2025 |
| Token No | SM/25-26/5324 25/07/2025 | Serial | 006 |
| Patient Name | Mrs. SUNANDA MUKHERJEE | Contact No | 6290658399 |
| Address | B/82/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||