Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09068 | Date 08/04/2025 |
| Token No | SM/25-26/556 10/04/2025 | Serial | 040 |
| Patient Name | Mrs. MADHABI SARKAR | Contact No | 9830444392 |
| Address | 23/A G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||