Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08970 | Date 26/03/2025 |
| Token No | SM/25-26/570 10/04/2025 | Serial | 054 |
| Patient Name | Mrs. ASMA BEGAM | Contact No | 6289205560 |
| Address | 12 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||