Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06734 | Date 07/05/2024 |
| Token No | SM/25-26/590 11/04/2025 | Serial | 002 |
| Patient Name | Mrs. RINKU DEY | Contact No | 6290328114 |
| Address | 30/40A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||