Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06440 | Date 18/03/2024 |
| Token No | SM/25-26/6366 14/08/2025 | Serial | 025 |
| Patient Name | Mrs. SHARMISTHA DUTTA | Contact No | 7439170323 |
| Address | D/1347/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||